| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.36 | $36.36 | $505.43 | |
Horizon BCBS
| Professional | $76.19 | $89.64 | $114.74 | |
United
| Professional | $40.51 | $81.80 | $152.74 |
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 | $505.43 | |
Horizon BCBS
| Professional | $76.19 | $89.64 | $114.74 | |
United
| Professional | $40.51 | $81.80 | $152.74 |