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Vermont rates for HCPCS 55874

Transperineal Plmt Biodegradable Matrl 1/Mlt Njx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.33 / $3,699.28 / $16,824.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.87 / $2,630.59 / $10,766.96
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.13 / $4,643.02 / $10,766.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,118.21 / $5,744.88 / $13,215.24