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Vermont rates for HCPCS 84377

Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.01 / $8.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $42.66 / $97.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $6.17 / $8.51
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.50 / $5.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $1.95 / $1.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $4.79 / $14.79