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South Dakota 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
Professional
Modifier
Low / Median / High Price
$435.33 / $655.59 / $731.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.88 / $137.88 / $2,036.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.23 / $524.00 / $885.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.41 / $96.51 / $3,407.99
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
$141.34 / $170.98 / $199.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.14 / $170.30 / $669.91