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Vermont rates for HCPCS 88311

Decalcification procedure (List separately in addition to code for surgical pathology examination)

Facilitymedian $59 · 10th–90th $59$680%20%40%90th$59Professionalmedian $25 · 10th–90th $8$510%20%10th90th$25$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $17.78 / $26.92
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $25.70 / $52.48
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$6.03 / $6.03 / $10.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $28.84 / $85.11
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.48 / $16.98 / $51.29
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$7.41 / $10.23 / $12.02
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $20.42 / $28.84
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.48 / $11.75 / $16.98
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$7.94 / $8.13 / $12.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $24.55 / $31.62
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.76 / $14.79 / $18.62
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$5.37 / $8.91 / $12.88