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Vermont rates for HCPCS 54390

Plastic Rpr Penis Epispadias W/Exstrophy Bladder

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,544.03 / $1,544.03 / $6,530.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,074.01 / $2,047.28 / $4,380.56
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,220.18 / $2,047.28 / $4,380.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,383.78 / $1,761.17 / $5,376.65