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Washington 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
$62.48 / $71.93 / $79.93
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $91.05 / $302.75
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.40 / $166.70 / $575.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.39 / $89.39 / $94.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.61 / $195.61 / $195.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $50.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.94 / $131.12 / $134.00
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.05 / $91.05 / $91.05
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.90 / $157.54 / $182.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.86 / $125.08 / $166.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.52 / $104.00 / $195.00