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Vermont rates for HCPCS 15572

Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.93 / $895.13 / $1,961.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.49 / $1,130.07 / $2,527.88
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.04 / $1,278.47 / $2,527.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.04 / $1,138.15 / $3,628.19