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Vermont rates for HCPCS 53515

Urtorr Sutr Urethral Wnd/Inj Prostatomembranous

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,070.99 / $1,070.99 / $4,191.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.98 / $1,318.27 / $2,815.92
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.00 / $1,318.27 / $2,815.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.28 / $1,161.08 / $3,456.23