go back

Vermont rates for HCPCS 87084

Cul Prsmptv Pthgnc Organisms Scr Dns Chart

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.33 / $15.03 / $15.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.79 / $146.22 / $153.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.32 / $45.32 / $45.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $13.45 / $39.24
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.32 / $45.32 / $45.32
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $13.45 / $39.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.22 / $12.03 / $19.34