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Alaska rates for HCPCS 95930

Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.68 / $160.68 / $160.68
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.75 / $50.75 / $50.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.94 / $111.62 / $153.12
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.83 / $18.39 / $41.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.11 / $83.17 / $122.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.21 / $200.87 / $312.14
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.02 / $48.55 / $65.11
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$105.66 / $135.76 / $270.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.22 / $131.40 / $201.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.11 / $192.15 / $257.81
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.68 / $52.41 / $82.15
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$107.93 / $139.74 / $175.70
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.00 / $267.30 / $378.30
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.00 / $67.50 / $95.63
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.00 / $194.40 / $322.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.22 / $131.40 / $201.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.10 / $171.20 / $448.80
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.00 / $65.11 / $123.39
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$96.60 / $185.00 / $342.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.69 / $170.13 / $321.39
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.40 / $52.08 / $104.16
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$108.62 / $123.73 / $217.24