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Vermont rates for HCPCS 0100T

Plmt Scjncl Rta Prosth&Pls&Impltj Intra-Oc Rta

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.89 / $2,004.72 / $2,275.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,210.25 / $5,210.25 / $5,210.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,210.25 / $5,210.25 / $5,210.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,249.51 / $2,640.73 / $7,828.05