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Vermont rates for HCPCS 67875

Temporary closure of eyelids by suture (eg, Frost suture)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $169.82 / $295.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $457.09 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $165.96 / $309.03
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $676.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $218.78 / $489.78