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Vermont rates for HCPCS 15574

Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands or feet

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.99 / $902.50 / $1,999.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.19 / $1,320.01 / $4,044.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.44 / $1,158.23 / $2,515.12
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.46 / $1,286.48 / $2,515.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.59 / $1,201.42 / $3,700.39