go back

Maine 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
$61.60 / $61.60 / $61.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.60 / $61.60 / $67.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.97 / $182.00 / $219.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.98 / $92.62 / $156.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.60 / $61.60 / $67.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.14 / $97.95 / $144.57