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South Dakota 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
$26.71 / $29.01 / $29.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.75 / $34.09 / $42.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.71 / $35.58 / $50.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.30 / $39.29 / $188.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.85 / $39.31 / $50.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $55.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.60 / $34.42 / $46.03