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Minnesota 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
$67.70 / $67.70 / $67.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.60 / $67.34 / $74.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.57 / $534.08 / $1,981.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.86 / $228.57 / $228.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.79 / $79.79 / $79.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.23 / $112.52 / $333.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.60 / $82.66 / $147.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.76 / $135.50 / $308.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.38 / $128.88 / $218.70