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Vermont rates for HCPCS 86364

Tissue Transglutaminase Ea Immunoglobulin Class

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.54 / $287.10 / $300.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.30 / $14.30 / $14.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.67 / $224.96 / $225.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $11.53 / $11.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.29 / $19.29 / $237.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.22 / $15.03 / $16.52
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.29 / $19.29 / $237.50
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.49 / $13.22 / $16.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $6.92 / $16.14