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Vermont rates for HCPCS 86255

Fluorescent noninfectious agent antibody; screen, each antibody

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $147.91 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.96 / $19.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $173.78 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $229.09 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $21.38 / $39.81
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $29.51 / $29.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $4.27 / $6.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $10.00 / $32.36