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Utah 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 / $61.66 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $61.66 / $74.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $269.15 / $616.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $87.10 / $109.65
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $58.88 / $70.79
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $87.10 / $102.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $83.18 / $120.23