go back

South Dakota 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
$67.34 / $67.70 / $69.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.85 / $105.57 / $117.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.98 / $94.77 / $432.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.20 / $99.22 / $132.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.23 / $99.22 / $114.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.98 / $89.13 / $149.06