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Vermont rates for HCPCS 64636

Dstr Nrolytc Agnt Parverteb Fct Addl Lmbr/Sacral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.29 / $68.45 / $285.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,011.51 / $3,162.81 / $3,771.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.89 / $232.89 / $232.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.66 / $169.00 / $390.38
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.91 / $225.86 / $390.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.24 / $283.26 / $712.80