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Vermont rates for HCPCS 76513

Dx Ophthalmic Us Ant Segment Immersion Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.15 / $79.14 / $124.27
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.14 / $32.57 / $50.93
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.75 / $49.35 / $73.33
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$196.29 / $196.29 / $196.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.67 / $132.61 / $319.10
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.21 / $49.45 / $135.37
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$62.01 / $82.58 / $144.80
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.93 / $132.03 / $319.10
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.60 / $48.96 / $135.37
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.58 / $76.29 / $144.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.59 / $124.59 / $174.27
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.65 / $46.26 / $73.93
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.94 / $78.33 / $103.88