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Vermont rates for HCPCS 76831

Saline infusion sonohysterography (SIS), including color flow Doppler, when performed

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $169.82 / $478.63
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$204.17 / $204.17 / $204.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $165.96 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $186.21 / $501.19
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $123.03 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $138.04 / $316.23