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Vermont rates for HCPCS 84150

Prostaglandin, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $85.11 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $33.11 / $42.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $275.42 / $446.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $41.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $295.12 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $39.81 / $60.26
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $41.69 / $41.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $25.12 / $91.20