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Virginia 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
$27.81 / $33.02 / $192.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.91 / $34.79 / $34.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.19 / $33.19 / $33.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.18 / $137.18 / $137.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.16 / $30.40 / $38.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.81 / $35.00 / $203.52
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.00 / $44.69 / $69.81
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.46 / $33.71 / $50.05
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.46 / $33.71 / $50.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.69 / $27.88 / $47.84