go back

Vermont rates for HCPCS 21139

Rdctj Fhd Cntrg & Setback Ant Frontal Sinus Wall

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,228.49 / $1,228.49 / $1,288.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.08 / $1,775.96 / $2,501.14
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.70 / $1,654.55 / $2,501.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,278.83 / $1,570.93 / $4,566.79