go back

Vermont rates for HCPCS 21195

Rcnstj Mndblr Rami&/Body Sgtl Splt W/O Int Rgd

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,595.14 / $1,657.70 / $1,657.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,409.84 / $2,361.33 / $3,133.20
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,442.55 / $2,046.26 / $3,133.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,690.05 / $1,967.91 / $5,720.85