go back

Vermont rates for HCPCS 01636

Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; interthoracoscapular (forequarter) amputation

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 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $912.01 / $1,230.27
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $54.95 / $87.10