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Nebraska 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.71 / $27.71 / $27.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.51 / $27.82 / $192.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.22 / $132.22 / $132.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.22 / $53.35 / $75.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.75 / $50.05 / $68.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.78 / $27.92 / $48.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.41 / $52.61 / $95.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.31 / $50.05 / $60.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $50.05 / $68.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.25 / $50.06 / $81.67