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Vermont rates for HCPCS L8612

Aqueous Shunt (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.24 / $420.24 / $484.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.71 / $451.71 / $632.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.95 / $451.70 / $465.26
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.71 / $451.71 / $632.95
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.95 / $451.71 / $465.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.42 / $548.57 / $995.55