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Vermont rates for HCPCS 96904

Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.08 / $79.17 / $169.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.65 / $95.84 / $155.81
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.40 / $101.90 / $155.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.17 / $97.86 / $284.49