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Vermont rates for HCPCS 76885

Us Inft Hips R-T Img Dynamic Req Phys/Qhp Manj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.12 / $103.83 / $584.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.91 / $635.85 / $907.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.04 / $195.73 / $585.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.97 / $217.97 / $638.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.84 / $202.46 / $585.27
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.97 / $217.97 / $638.42
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.50 / $200.92 / $585.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.04 / $169.12 / $622.58