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Vermont rates for HCPCS 92004

Oph Svcs Medical Xm&Eval Compre New Pt 1/> Vst

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.36 / $140.71 / $245.69
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$149.25 / $243.71 / $491.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.11 / $189.91 / $548.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.09 / $100.75 / $204.39
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.73 / $137.41 / $220.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.98 / $166.60 / $213.63