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Vermont rates for HCPCS E1355

Stand/Rack (Special Coverage Instructions Apply. See Cim: 60-4)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $12.53 / $18.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.96 / $18.96 / $18.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.12 / $16.12 / $36.57
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.96 / $18.96 / $18.96
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.12 / $16.12 / $43.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.31 / $19.80 / $34.46