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Texas 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
$50.70 / $60.06 / $841.71
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.04 / $16.72 / $20.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.18 / $71.33 / $146.81
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.98 / $18.32 / $25.14
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.94 / $51.68 / $128.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.10 / $61.14 / $120.57
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.39 / $17.39 / $17.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.56 / $140.71 / $280.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.32 / $48.31 / $90.03
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.20 / $70.68 / $89.63
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.98 / $155.57 / $155.57
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.97 / $25.20 / $25.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.14 / $204.63 / $804.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.82 / $101.82 / $249.85
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.69 / $23.54 / $37.03
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.91 / $74.61 / $211.49
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.52 / $353.50 / $353.50
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.74 / $134.26 / $134.26
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.90 / $803.55 / $803.55
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$416.07 / $416.07 / $416.07
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$567.25 / $578.59 / $578.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.06 / $77.69 / $162.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.66 / $112.09 / $299.45
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.49 / $26.73 / $36.86
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.64 / $81.52 / $115.29
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.34 / $59.71 / $110.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.06 / $78.08 / $164.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.86 / $115.64 / $239.09
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.78 / $24.19 / $37.01
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.35 / $74.61 / $220.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.67 / $99.45 / $175.77
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.60 / $20.09 / $32.13
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.41 / $76.64 / $149.44
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.93 / $62.00 / $85.60
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.91 / $17.55 / $23.75
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.75 / $46.45 / $63.26