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Illinois rates for HCPCS 0464T

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $61.66 / $70.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $186.21 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $81.28 / $91.20
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $199.53 / $346.74
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $131.83 / $346.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $89.13 / $134.90