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Vermont rates for HCPCS 80155

Caffeine

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $22.91 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $22.39 / $54.95
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $13.49 / $13.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $22.91 / $85.11