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Vermont rates for HCPCS 80170

Drug Screen Quantitative Gentamicin

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.61 / $28.61 / $28.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.15 / $137.52 / $292.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.42 / $27.42 / $37.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.32 / $19.00 / $25.69
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.42 / $27.42 / $37.10
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.32 / $19.00 / $25.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.83 / $13.74 / $32.06