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Vermont rates for HCPCS 90997

Hemoperfusion (eg, with activated charcoal or resin)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $93.33 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $134.90 / $363.08
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $128.82 / $229.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $125.89 / $199.53