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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $70.79 / $741.31
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.05 / $19.05 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $74.13 / $194.98
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.14 / $18.20 / $45.71
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.66 / $52.48 / $138.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $109.65 / $309.03
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.62 / $27.54 / $64.57
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.86 / $77.62 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $213.80 / $338.84
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.86 / $56.23 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $173.78 / $257.04
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.95 / $47.86 / $67.61
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.23 / $125.89 / $190.55
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $81.28 / $162.18
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $138.04 / $186.21
DeanCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.36 / $38.02 / $51.29
DeanCare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.11 / $100.00 / $134.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $85.11 / $186.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $181.97 / $812.83
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.05 / $36.31 / $416.87
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.26 / $138.04 / $562.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $117.49
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $151.36 / $223.87
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $416.87 / $416.87
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $134.90 / $134.90
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $524.81 / $812.83
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.88 / $93.33 / $416.87
Quartz
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.66 / $363.08 / $575.44
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $331.13 / $398.11
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.91 / $46.77 / $67.61
Security Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.54 / $263.03 / $323.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $147.91 / $251.19
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.05 / $30.90 / $64.57
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.88 / $109.65 / $204.17