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Vermont rates for HCPCS 21010

Arthrotomy Temporomandibular Joint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.12 / $887.17 / $887.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.55 / $1,280.33 / $1,700.51
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.55 / $1,110.54 / $1,700.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.17 / $1,068.06 / $3,104.93