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Vermont rates for HCPCS E1353

Regulator (Special Coverage Instructions Apply. See Cim: 60-4 And Mcm: 4107.9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $16.64 / $29.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.17 / $25.17 / $29.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.39 / $21.39 / $48.50
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.17 / $25.17 / $29.37
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.39 / $25.17 / $48.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.16 / $27.94 / $82.49