go back

Vermont rates for HCPCS 01130

Anesthesia for body cast application or revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $47.86 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $354.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $181.97 / $245.47
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $54.95 / $87.10