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South Dakota 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
$60.02 / $65.13 / $67.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.78 / $89.78 / $311.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.83 / $65.13 / $110.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.35 / $88.23 / $430.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.92 / $89.78 / $114.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.78 / $89.78 / $124.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.72 / $77.29 / $98.81