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Vermont rates for HCPCS 75803

Lymphangiography Extremity Only Bilateral Rs&I

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.37 / $447.45 / $1,414.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,985.67 / $1,985.67 / $3,732.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.43 / $373.07 / $1,186.70
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,985.67 / $1,985.67 / $3,732.83
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.35 / $373.07 / $1,186.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.20 / $2,189.92 / $6,386.48