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Vermont rates for HCPCS 78215

Liver and spleen imaging; static only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.27 / $201.27 / $201.27
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$142.19 / $142.19 / $142.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.31 / $220.31 / $785.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.26 / $275.45 / $785.24
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.26 / $275.45 / $785.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.17 / $260.13 / $428.86