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Vermont rates for HCPCS 01130

Anesthesia Body Cast Application Or Revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.00 / $48.00 / $48.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $48.00 / $688.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.68 / $223.60 / $300.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.00 / $216.00 / $303.89
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $183.00 / $240.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $55.00 / $86.59