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Vermont rates for HCPCS 76873

Us Transrct Prstate Vol Brachytx Plnning Spx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.03 / $176.65 / $880.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.40 / $77.28 / $118.85
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$458.26 / $458.26 / $458.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.49 / $264.63 / $742.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.92 / $255.73 / $742.98
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$92.65 / $110.63 / $319.77
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.92 / $244.66 / $742.98
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.17 / $109.80 / $319.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.80 / $225.06 / $405.78
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.90 / $102.36 / $174.65