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Vermont rates for HCPCS 43763

Perq Replacement Gtube Req Revj Gstrst Trc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.12 / $358.67 / $484.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.25 / $300.92 / $1,243.80
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.87 / $465.24 / $1,243.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.41 / $485.02 / $1,409.98