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Vermont rates for HCPCS 72255

Myelography Thoracic Rs&I

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.01 / $142.78 / $142.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.60 / $773.60 / $773.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.45 / $1,858.45 / $2,127.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.66 / $185.17 / $509.21
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.45 / $1,858.45 / $2,127.58
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.66 / $196.04 / $509.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.69 / $238.24 / $541.66