go back

Maryland 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
Professional
Modifier
Low / Median / High Price
$60.56 / $74.75 / $166.72
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.90 / $18.29 / $29.92
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.83 / $53.27 / $134.71
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.73 / $80.81 / $154.15
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.52 / $20.91 / $26.14
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.91 / $59.90 / $138.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.84 / $112.44 / $220.12
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.20 / $25.24 / $46.19
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.71 / $84.23 / $189.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.40 / $75.38 / $106.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.69 / $20.07 / $27.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.08 / $55.51 / $79.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $91.80 / $152.22
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.20 / $20.14 / $35.43
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.74 / $75.31 / $141.04
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.53 / $78.00 / $97.50
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.25 / $20.99 / $26.54
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.29 / $56.77 / $70.97