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Vermont rates for HCPCS 88304

Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.17 / $65.76 / $138.13
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.67 / $13.29 / $45.95
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.52 / $54.80 / $64.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.83 / $71.70 / $150.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.11 / $64.92 / $150.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.30 / $16.05 / $39.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.47 / $47.90 / $61.88
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.51 / $53.11 / $75.18
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.67 / $13.64 / $17.02
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.09 / $39.47 / $47.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.10 / $60.65 / $127.86
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.08 / $11.79 / $33.06
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.02 / $30.04 / $94.80