go back

Vermont rates for HCPCS 38200

Injection Procedure Splenoportograpy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.97 / $175.91 / $175.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.82 / $225.13 / $462.43
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.76 / $225.13 / $462.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.33 / $203.72 / $567.59