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Vermont rates for HCPCS 31623

Brnchsc Brushing/Protected Brushings

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.78 / $334.58 / $699.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.82 / $374.82 / $441.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.97 / $300.52 / $1,001.82
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.70 / $414.67 / $1,001.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.01 / $466.16 / $1,229.63