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Vermont rates for HCPCS 30580

Repair Fistula Oromaxillary

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.15 / $766.44 / $3,337.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.15 / $756.83 / $2,229.31
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.05 / $933.22 / $2,229.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.68 / $890.50 / $2,736.23