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Vermont rates for HCPCS 0205U

Ophthalmology (age-related macular degeneration), analysis of 3 gene variants (2 CFH gene, 1 ARMS2 gene), using PCR and MALDI-TOF, buccal swab, reported as positive or negative for neovascular age-related macular-degeneration risk associated with zinc supplements

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.90 / $58.28 / $58.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.67 / $78.67 / $78.67
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.67 / $78.67 / $78.67
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.55 / $30.55 / $30.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.53 / $47.00 / $211.50