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Nebraska 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
Facility
Modifier
Low / Median / High Price
$678.65 / $678.65 / $678.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.48 / $566.04 / $681.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.22 / $132.22 / $132.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.82 / $54.84 / $76.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.49 / $143.19 / $1,470.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.73 / $678.65 / $1,187.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.14 / $119.36 / $1,687.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.49 / $170.98 / $1,470.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.00 / $170.98 / $1,183.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.04 / $126.82 / $1,602.97