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Vermont rates for HCPCS 82642

Dihydrotestosterone (DHT)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $102.33 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $23.99 / $39.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $32.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $120.23 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $33.88 / $42.66
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $29.51 / $29.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $10.23 / $10.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $19.50 / $70.79