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Vermont rates for HCPCS 25455

Epiphysl Arrst Epiphysiod/Stapling Dstl Rds&Ulna

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.12 / $768.12 / $865.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.61 / $1,160.86 / $1,630.79
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.94 / $992.21 / $1,461.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.80 / $1,024.27 / $2,977.62