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Vermont rates for HCPCS 40801

Drg Absc Cst Hmtma Vestibule Mouth Comp

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.28 / $338.51 / $1,619.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,198.85 / $1,198.85 / $1,535.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.90 / $376.15 / $1,063.97
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.58 / $450.43 / $1,063.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.50 / $430.82 / $1,305.90