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Arizona rates for HCPCS 0464T

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.60 / $64.65 / $74.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.22 / $99.63 / $165.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.88 / $42.23 / $66.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.79 / $79.79 / $79.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.64 / $333.64 / $333.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.60 / $110.40 / $157.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.62 / $80.09 / $432.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.62 / $72.72 / $133.68