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Utah 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 / $66.50 / $82.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.39 / $89.39 / $94.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.94 / $81.63 / $102.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.92 / $68.00 / $102.00