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Vermont rates for HCPCS 64857

Sutr Prph Nrv Arm/Leg Xcp Sciatic W/O Trpos

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,147.52 / $1,147.52 / $1,200.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,463.29 / $1,724.90 / $3,739.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.49 / $1,401.96 / $2,360.79
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.88 / $1,447.11 / $2,360.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,296.51 / $1,449.21 / $4,310.55