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Vermont rates for HCPCS 87903

Nfct Phexyp Resist Tiss Cul Hiv First 1-10 Drugs

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.49 / $852.66 / $3,142.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,788.28 / $8,313.79 / $8,692.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$817.90 / $817.90 / $817.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.49 / $915.52 / $2,067.21
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$817.90 / $817.90 / $817.90
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.13 / $915.52 / $2,067.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.45 / $682.72 / $1,129.00