| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.84 | $26.94 | $192.00 | |
BCBS
| Professional | $60.00 | $60.00 | $60.00 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 | |
United
| Professional | $24.50 | $30.14 | $43.42 |
Visual field assessment, with concurrent real time data analysis and accessible data storage with patient initiated data transmitted to a remote surveillance center for up to 30 days; review and interpretation with report by a physician or other qualified health care professional
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.84 | $26.94 | $192.00 | |
BCBS
| Professional | $60.00 | $60.00 | $60.00 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 | |
United
| Professional | $24.50 | $30.14 | $43.42 |