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Montana rates for HCPCS 95930

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

Facilitymedian $117 · 10th–90th $68$2880%20%10th90th$117Professionalmedian $65 · 10th–90th $17$1510%10%10th90th$65$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $93.33 / $169.82
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.13 / $19.50 / $34.67
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $69.18 / $144.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $66,069.34 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $107.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $107.15 / $275.42
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$28.18 / $28.18 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $107.15 / $346.74
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $24.55 / $75.86
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $81.28 / $251.19
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $117.49 / $251.19
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $117.49 / $251.19
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $95.50 / $186.21
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$28.18 / $28.18 / $33.88
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $144.54 / $173.78
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $25.70 / $38.90
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $75.86 / $109.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $67.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $120.23 / $213.80
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.50 / $30.20 / $38.02
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $91.20 / $181.97