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Vermont rates for HCPCS 64415

Injection Aa&/Strd Brachial Plexus W/Img Gdn

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.64 / $110.26 / $137.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,711.55 / $1,711.55 / $1,849.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.38 / $219.70 / $492.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.33 / $139.93 / $256.45
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.87 / $149.88 / $256.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.57 / $185.70 / $468.28