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Michigan 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 / $491.85 / $699.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.36 / $38.54 / $49.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.88 / $137.88 / $137.88
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.67 / $40.92 / $699.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.14 / $86.94 / $605.60