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Montana rates for HCPCS 0378T

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

Facilitymedian $51 · 10th–90th $47–$540%50%10th90th$51Professionalmedian $29 · 10th–90th $17–$400%20%10th90th$29$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $28.84 / $33.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $41.69 / $46.77
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $53.70
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $53.70
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $46.77 / $190.55
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $41.69 / $46.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $51.29 / $58.88