go back

Vermont rates for HCPCS P9604

Travel Allowance One Way In Connection With Medically Necessary Laboratory Specimen Collection Drawn From Home Bound Or Nursing Home Bound Patient; Prorated Trip Charge. (Special Coverage Instructions Apply. See Mcm: 51141k)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.22 / $4.22 / $4.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $3.84 / $8.52
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $4.69 / $7.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.86 / $13.30 / $15.38