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Vermont rates for HCPCS 75803

Lymphangiography, extremity only, bilateral, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $776.25 / $1,995.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $3,715.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $371.54 / $812.83
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $1,737.80 / $4,168.69