go back

Vermont rates for HCPCS 80155

Drug Assay Caffeine

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.93 / $23.93 / $23.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.56 / $64.56 / $64.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.26 / $22.38 / $55.24
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.56 / $64.56 / $64.56
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.26 / $22.38 / $55.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.58 / $16.85 / $29.69