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Vermont rates for HCPCS 66174

Trluml Dilat Aqueous O/F Can Wo Retention Dev/St

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.54 / $1,003.19 / $1,206.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,037.76 / $1,223.29 / $2,244.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.76 / $1,303.96 / $2,084.03
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.47 / $1,303.96 / $2,084.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,280.80 / $1,438.97 / $2,754.68