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Maine 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 / $78.16 / $566.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.53 / $53.53 / $53.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.35 / $538.33 / $837.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.36 / $78.16 / $566.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.41 / $95.56 / $139.88