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Vermont rates for HCPCS 84155

Protein, total, except by refractometry; serum, plasma or whole blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $45.71 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.02 / $6.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $32.36 / $61.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $4.57 / $4.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $33.11 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $4.17 / $5.75
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $3.63 / $3.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $3.24 / $10.00