| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.36 | $85.71 | $383.21 | |
BCBS
| Professional | $11.00 | $11.00 | $11.00 | |
Molina
| Professional | $17.00 | $20.00 | $25.00 | |
United
| Professional | $63.23 | $74.59 | $86.94 |
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 | $85.71 | $383.21 | |
BCBS
| Professional | $11.00 | $11.00 | $11.00 | |
Molina
| Professional | $17.00 | $20.00 | $25.00 | |
United
| Professional | $63.23 | $74.59 | $86.94 |