go back

Vermont rates for HCPCS 90791

Psychiatric Diagnostic Evaluation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.12 / $143.40 / $191.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.59 / $143.28 / $191.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.00 / $525.00 / $525.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.05 / $154.99 / $221.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $126.00 / $195.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $128.00 / $199.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.15 / $183.60 / $400.14