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Vermont rates for HCPCS E0300

Pediatric Crib Hospital Grade Fully Enclosed With Or Without Top Enclosure (Revised 01/01/13)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,437.17 / $1,924.79 / $1,924.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,950.00 / $1,950.00 / $1,950.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,657.50 / $1,950.00 / $2,008.50
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,950.00 / $1,950.00 / $1,950.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,950.00 / $1,950.00 / $2,008.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.23 / $2,105.58 / $2,568.94