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Pennsylvania 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
$52.12 / $61.98 / $61.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.52 / $61.60 / $71.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.79 / $79.79 / $79.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.64 / $333.64 / $333.64
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.61 / $96.61 / $96.61
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.98 / $61.98 / $61.98
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.69 / $61.60 / $74.09
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.79 / $79.79 / $79.79
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.64 / $333.64 / $333.64
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.73 / $66.73 / $73.48
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.73 / $72.48 / $73.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.21 / $76.81 / $118.44