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Vermont rates for HCPCS 95864

Ndl Emg 4 Xtr W/Wo Related Paraspinal Areas

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$112.58 / $112.58 / $112.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.57 / $193.61 / $237.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.70 / $317.93 / $857.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.72 / $321.07 / $857.92
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.42 / $325.51 / $568.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.80 / $357.11 / $1,038.15