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Maine rates for HCPCS 95930

Visual Ep Testing Cns Except Glaucoma W/I&R

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.73 / $69.73 / $69.73
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.57 / $19.59 / $19.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $118.81 / $153.12
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.73 / $19.57 / $28.45
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.16 / $91.68 / $134.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.05 / $80.56 / $121.26
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.47 / $22.43 / $33.07
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.58 / $58.14 / $88.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.68 / $118.76 / $188.11
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.55 / $28.53 / $43.14
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.18 / $92.13 / $137.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.38 / $85.70 / $144.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.92 / $23.37 / $39.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.46 / $62.33 / $128.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $118.81 / $174.55
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.73 / $19.59 / $29.48
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.15 / $90.34 / $154.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.84 / $157.34 / $211.80
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.13 / $28.49 / $39.51
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.72 / $138.62 / $164.29