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Vermont rates for HCPCS 86684

Antibody; Haemophilus influenza

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $15.14 / $16.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $147.91 / $173.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $158.49 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $18.20 / $25.12
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $15.85 / $15.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.50 / $5.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $9.55 / $42.66