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Vermont rates for HCPCS 12011

Simple Repair F/E/E/N/L/M 2.5cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.44 / $173.44 / $173.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.47 / $115.34 / $154.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.80 / $285.23 / $672.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.79 / $248.64 / $759.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.23 / $149.60 / $401.14
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.70 / $162.97 / $401.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.60 / $189.63 / $451.96