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Vermont rates for HCPCS 80164

Drug Assay Valproic Dipropylacetic Acid Total

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.95 / $207.47 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.63 / $23.63 / $23.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.48 / $112.87 / $240.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.72 / $16.72 / $16.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.66 / $22.66 / $85.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.43 / $15.69 / $21.20
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.66 / $22.66 / $85.80
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.43 / $15.69 / $21.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $11.36 / $26.50