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Vermont rates for HCPCS 86788

Antibody West Nile Virus Igm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.94 / $24.94 / $24.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.94 / $126.65 / $254.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.80 / $20.80 / $20.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.20 / $28.20 / $136.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.66 / $19.41 / $26.50
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.20 / $28.20 / $136.19
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.28 / $19.41 / $26.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.36 / $11.98 / $27.96