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Texas 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
$66.83 / $70.48 / $71.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.35 / $63.12 / $71.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.82 / $24.50 / $24.50
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.91 / $90.23 / $112.52
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.18 / $370.50 / $370.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.44 / $432.44 / $598.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.70 / $67.34 / $97.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.14 / $61.14 / $66.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.37 / $67.86 / $110.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.59 / $91.51 / $112.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.99 / $76.44 / $119.18
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.14 / $76.43 / $104.97