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New York 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
$68.39 / $119.88 / $1,042.25
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.72 / $23.30 / $32.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.06 / $93.43 / $181.94
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.90 / $18.55 / $28.45
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.86 / $83.17 / $160.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.22 / $70.88 / $192.10
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.78 / $18.36 / $36.38
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.43 / $50.00 / $145.75
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.47 / $26.47 / $68.17
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.47 / $68.17 / $94.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.31 / $176.29 / $233.64
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.65 / $20.65 / $20.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.51 / $135.41 / $292.77
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.53 / $27.00 / $61.37
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.65 / $109.79 / $249.62
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.57 / $79.43 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.29 / $92.46 / $146.27
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.35 / $26.16 / $47.97
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.73 / $73.53 / $108.31
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.90 / $90.90 / $90.90
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.05 / $89.45 / $153.47
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.62 / $18.55 / $41.99
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.13 / $68.90 / $116.66
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.43 / $72.27 / $90.34
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.70 / $386.04 / $507.29
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.94 / $21.06 / $21.17
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.31 / $229.88 / $597.00
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.65 / $20.65 / $20.65
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $124.28 / $280.36
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.08 / $26.21 / $59.48
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.63 / $96.25 / $233.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.50 / $79.59 / $225.36
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.30 / $20.58 / $45.90
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.61 / $60.18 / $180.87
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.12 / $78.12 / $317.94
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$21.37 / $21.37 / $67.63
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.40 / $85.31 / $175.43
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.62 / $21.82 / $46.72
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.92 / $61.50 / $126.54