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New Mexico 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
Professional
Modifier
Low / Median / High Price
$23.90 / $29.12 / $192.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.19 / $38.65 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.14 / $28.82 / $47.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $42.72 / $61.41