| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.36 | $458.22 | $502.00 | |
Kaiser Permanente
| Professional | $272.49 | $349.74 | $480.86 | |
United
| Professional | $51.86 | $64.04 | $106.73 |
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 | $36.36 | $458.22 | $502.00 | |
Kaiser Permanente
| Professional | $272.49 | $349.74 | $480.86 | |
United
| Professional | $51.86 | $64.04 | $106.73 |