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Vermont rates for HCPCS 95930

Visual Ep Testing Cns Except Glaucoma W/I&R

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.08 / $149.08 / $149.08
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.62 / $19.62 / $19.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.98 / $149.08 / $149.08
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.98 / $19.62 / $19.62
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.81 / $129.46 / $129.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,217.73 / $1,217.73 / $1,477.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.43 / $153.84 / $244.25
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.26 / $42.64 / $66.47
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.17 / $97.17 / $111.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.51 / $118.90 / $244.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.85 / $25.87 / $66.47
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.65 / $95.50 / $153.83
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.21 / $151.53 / $244.25
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.05 / $25.94 / $42.41
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.36 / $109.13 / $162.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.17 / $134.94 / $276.67
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.57 / $26.64 / $51.28
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.53 / $112.03 / $199.22