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Vermont rates for HCPCS 84402

Testosterone; free

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $173.78 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $23.99 / $43.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $199.53 / $457.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $31.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $95.50 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $20.89 / $40.74
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $25.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $22.39 / $69.18