| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $85.71 | $502.00 | $502.00 | |
Kaiser Permanente
| Professional | $327.39 | $379.08 | $1,457.81 | |
United
| Professional | $51.86 | $69.20 | $196.81 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $85.71 | $502.00 | $502.00 | |
Kaiser Permanente
| Professional | $327.39 | $379.08 | $1,457.81 | |
United
| Professional | $51.86 | $69.20 | $196.81 |