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Alaska rates for HCPCS 0464T

Visual evoked potential, testing for glaucoma, with interpretation and report

Facilitymedian $71 · 10th–90th $52–$1170%10%20%10th90th$71Professionalmedian $62 · 10th–90th $51–$790%20%10th90th$62$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $61.66 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $69.18 / $117.49
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $61.66 / $74.13
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $288.40 / $380.19
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $70.79 / $117.49
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $177.83 / $181.97