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Vermont rates for HCPCS 85290

Clotting; factor XIII (fibrin stabilizing)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $15.14 / $28.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $125.89 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $107.15 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $19.05 / $25.70
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $5.75 / $5.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $14.45 / $44.67