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Idaho rates for HCPCS 0333T

Visual evoked potential, screening of visual acuity, automated, with report

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.33 / $66.50 / $81.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.15 / $62.53 / $81.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $55.00 / $3,900.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.86 / $99.50 / $114.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.74 / $86.00 / $116.00