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Vermont rates for HCPCS 76886

Us Inft Hips R-T Img Lmtd Static Phys/Qhp Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.80 / $656.80 / $656.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.89 / $97.56 / $540.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.78 / $534.78 / $534.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.61 / $144.53 / $431.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.97 / $217.97 / $217.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.35 / $146.99 / $431.50
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.97 / $217.97 / $217.97
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.95 / $146.37 / $431.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.60 / $128.69 / $235.66