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Wisconsin rates for HCPCS 95930

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

Facilitymedian $79 · 10th–90th $54$2450%10%10th90th$79Professionalmedian $65 · 10th–90th $18$2190%5%10th90th$65$20.0$50.0$100.0$200.0$500.0$1.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $741.31
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$19.05 / $19.05 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $74.13 / $234.42
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.13 / $18.20 / $36.31
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $52.48 / $134.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $109.65 / $323.59
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $30.20 / $66.07
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $77.62 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $213.80 / $338.84
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$47.86 / $56.23 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $173.78 / $245.47
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $47.86 / $64.57
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $125.89 / $181.97
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $79.43 / $154.88
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $138.04 / $186.21
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $38.02 / $51.29
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $100.00 / $134.90
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $79.43 / $169.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $173.78 / $812.83
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $34.67 / $416.87
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $131.83 / $562.34
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $117.49
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $331.13
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $102.33 / $323.59
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.62 / $28.18 / $47.86
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $81.28 / $302.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $151.36 / $223.87
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $416.87 / $416.87
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $134.90 / $134.90
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $436.52 / $812.83
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $93.33 / $416.87
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $363.08 / $575.44
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $81.28
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $346.74 / $398.11
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $46.77 / $67.61
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $263.03 / $323.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $758.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $194.98 / $309.03
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $57.54 / $89.13
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $109.65 / $208.93