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Arizona rates for HCPCS 0379T

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; technical support and patient instructions, surveillance, analysis, and transmission of daily and emergent data reports as prescribed by a physician or other qualified health care professional

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $213.80 / $676.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $41.69 / $41.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $48.98 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $501.19 / $741.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $77.62 / $3,388.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $72.44 / $141.25