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Vermont rates for HCPCS 58752

Tubouterine Implantation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.79 / $1,120.79 / $4,746.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.74 / $1,498.01 / $3,234.39
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.82 / $1,498.01 / $3,234.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.08 / $1,279.67 / $3,969.86