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Vermont rates for HCPCS L0859

Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $776.25 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $1,023.29
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,348.96 / $1,819.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $851.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $1,047.13 / $3,019.95