| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.22 | $29.12 | $45.42 | |
Medica
| Facility | $19.75 | $24.22 | $26.64 | |
Medica
| Professional | $25.70 | $29.87 | $62.57 | |
United
| Professional | $24.73 | $29.26 | $41.15 |
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 | $24.22 | $29.12 | $45.42 | |
Medica
| Facility | $19.75 | $24.22 | $26.64 | |
Medica
| Professional | $25.70 | $29.87 | $62.57 | |
United
| Professional | $24.73 | $29.26 | $41.15 |