go back

Utah 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 / $45.42 / $192.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.78 / $39.78 / $42.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.68 / $36.35 / $45.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.81 / $30.26 / $47.49