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Vermont rates for HCPCS 36455

Blood Exchange Transfusion Other Than Newborn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.62 / $3.62 / $3.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.33 / $148.44 / $643.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.59 / $202.76 / $450.57
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.51 / $196.98 / $425.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.24 / $174.38 / $275.10