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Vermont rates for HCPCS 54690

Laparoscopy Surgical Orchiectomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.13 / $834.13 / $3,456.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.82 / $1,087.77 / $2,322.14
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.77 / $1,087.77 / $2,322.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.41 / $931.46 / $2,850.17