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Vermont rates for HCPCS 28576

Prq Skel Fixj Talotarsal Jt Dislc W/Manj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.57 / $453.57 / $455.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.90 / $615.89 / $869.51
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.90 / $575.90 / $869.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.37 / $546.13 / $1,587.63