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Vermont rates for HCPCS 0117U

Pain Mgmt Alys 11 Endogenous Analytes Urine Alg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.41 / $1,042.41 / $1,042.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.03 / $1,407.03 / $1,407.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.01 / $966.01 / $1,207.51
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.03 / $1,407.03 / $1,407.03
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.41 / $966.01 / $1,207.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.39 / $504.39 / $1,176.91