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Maine 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
$40.84 / $68.80 / $79.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.41 / $68.56 / $68.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.65 / $82.44 / $109.74
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.84 / $68.80 / $79.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.38 / $82.88 / $117.02