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 | $210.33 | $699.01 | |
Molina
| Professional | $50.00 | $1,500.00 | $3,500.00 | |
Providence
| Facility | $182.73 | $210.33 | $435.33 | |
United
| Professional | $74.43 | $96.36 | $131.41 |