go back

Vermont rates for HCPCS 40701

Plstc Rpr Cl Lip/Nsl Dfrm Prim Bi 1 Stg Px

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.33 / $1,215.33 / $3,160.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,259.07 / $1,780.71 / $4,238.22
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,268.09 / $1,813.66 / $4,238.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,268.09 / $1,578.09 / $4,915.26