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Missouri 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 / $461.51 / $728.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.95 / $35.24 / $75.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.98 / $170.98 / $170.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.73 / $700.99 / $1,236.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.28 / $82.06 / $3,407.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.28 / $82.06 / $702.07