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Vermont rates for HCPCS 41005

Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficial

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $213.80 / $354.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $288.40 / $891.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $331.13 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $245.47 / $524.81