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Idaho 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
$36.36 / $45.12 / $435.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.12 / $60.11 / $505.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $55.00 / $3,900.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.63 / $800.98 / $800.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.23 / $89.38 / $142.36