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Vermont rates for HCPCS 76120

Cineradiograpy/Vidradiograpy Xcpt Where Spec

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.95 / $80.43 / $117.56
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.53 / $19.48 / $19.53
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.43 / $60.96 / $98.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.00 / $160.69 / $499.99
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.08 / $27.11 / $79.02
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$76.48 / $115.84 / $204.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.67 / $140.84 / $499.99
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.08 / $27.11 / $79.02
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.17 / $103.88 / $204.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.15 / $142.32 / $531.86
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.04 / $26.70 / $84.06
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.96 / $111.82 / $343.20