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Minnesota rates for HCPCS 0333T

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.02 / $67.02 / $67.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.84 / $66.68 / $103.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.89 / $256.89 / $256.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.81 / $256.89 / $256.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.78 / $89.78 / $89.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.63 / $61.68 / $111.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.35 / $90.23 / $226.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.35 / $90.23 / $207.42