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Nebraska 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
$62.18 / $62.18 / $62.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.55 / $62.18 / $76.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.89 / $966.89 / $966.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.40 / $105.00 / $148.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.78 / $138.18 / $154.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.64 / $62.46 / $108.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.32 / $103.54 / $187.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.78 / $114.33 / $138.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.78 / $114.33 / $154.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $90.59 / $158.72