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Vermont rates for HCPCS 80069

Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.76 / $92.76 / $92.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.42 / $14.70 / $15.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.28 / $110.50 / $177.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $10.72 / $10.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.52 / $14.52 / $187.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $9.91 / $13.86
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.52 / $14.52 / $187.20
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $9.91 / $13.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.79 / $7.28 / $16.98