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Vermont rates for HCPCS 40702

Plstc Rpr Cl Lip/Nsl Dfrm Prim Bi 1 2 Stgs

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.21 / $912.21 / $2,652.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.51 / $1,430.82 / $3,562.13
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.63 / $1,430.82 / $3,562.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.63 / $1,224.69 / $4,126.59