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New Hampshire 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
$64.19 / $72.39 / $86.98
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
$53.25 / $82.44 / $207.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.00 / $87.86 / $144.53
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00