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Vermont rates for HCPCS 89264

Sprm Id From Tstis Tiss Frsh/Cryoprsrvd

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.38 / $500.00 / $500.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.92 / $83.92 / $83.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.45 / $136.81 / $279.20
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.92 / $83.92 / $83.92
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.45 / $136.81 / $279.20