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Vermont rates for HCPCS 21175

Rcnstj Bifrontal Superior-Lat Orb Rims & Lwr Fhd

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,001.22 / $2,608.12 / $2,803.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,846.59 / $7,846.59 / $7,846.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,402.75 / $3,793.36 / $4,997.08
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,321.42 / $3,310.61 / $4,997.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,578.13 / $3,087.48 / $9,124.11