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Virginia 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
$36.36 / $85.71 / $502.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.59 / $45.50 / $53.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.60 / $710.60 / $710.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,036.21 / $2,036.21 / $2,036.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.93 / $344.62 / $413.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.22 / $102.85 / $636.03
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $601.00 / $1,494.24
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.89 / $145.54 / $704.25
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.89 / $145.54 / $704.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.85 / $64.16 / $127.36