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Vermont rates for HCPCS 76775

Us Retroperitoneal Real Time W/Image Limited

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.63 / $112.65 / $283.36
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.18 / $29.52 / $132.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.44 / $76.16 / $94.41
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$171.82 / $171.82 / $171.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.22 / $94.56 / $249.97
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.40 / $44.08 / $114.85
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.04 / $48.37 / $48.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.56 / $132.86 / $249.97
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.76 / $39.79 / $114.85
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.22 / $67.77 / $122.46
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.16 / $110.52 / $249.97
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.51 / $39.79 / $114.85
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.97 / $48.78 / $121.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.46 / $109.74 / $165.51
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.59 / $37.58 / $62.73
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.32 / $73.79 / $119.97