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 | $36.36 | $265.52 | |
Anthem BCBS
| Professional | $25.18 | $53.53 | $53.53 | |
Harvard Pilgrim
| Professional | $347.71 | $710.08 | $1,357.68 | |
United
| Professional | $51.38 | $96.98 | $201.30 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |