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Idaho 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 / $62.83 / $74.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.52 / $112.52 / $112.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.47 / $65.97 / $80.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $55.00 / $3,900.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.58 / $386.99 / $485.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.53 / $105.73 / $106.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.72 / $96.96 / $137.36