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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
$61.66 / $67.61 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $64.57 / $70.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $100.00 / $117.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $93.33 / $436.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $91.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $91.20 / $147.91