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Wisconsin 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
$40.74 / $40.74 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $64.57 / $79.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $128.82 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $147.91
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $54.95 / $131.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $61.66 / $302.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $85.11 / $269.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $54.95 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $141.25 / $218.78
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $154.88 / $426.58
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $79.43 / $154.88