go back

Vermont rates for HCPCS 12041

Repair Intermediate N/H/F/Xtrnl Gent 2.5cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$753.75 / $753.75 / $753.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.06 / $259.61 / $309.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.42 / $650.42 / $833.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.44 / $335.28 / $970.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.44 / $331.58 / $951.23
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.25 / $358.60 / $951.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.87 / $359.52 / $1,045.15