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Nebraska rates for HCPCS 0464T

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

Facilitymedian $110 · 10th–90th $63–$2290%10%10th90th$110Professionalmedian $65 · 10th–90th $54–$1150%20%10th90th$65$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $61.66 / $70.79
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $117.49 / $229.09
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $104.71 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $147.91 / $165.96
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $107.15 / $263.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $107.15 / $436.52
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $114.82 / $169.82
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $158.49 / $158.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $165.96 / $218.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $97.72 / $162.18