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Vermont rates for HCPCS Q2004

Bladder Calculi Irrig Sol

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.22 / $103.22 / $173.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.82 / $11.82 / $20.18
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.18 / $20.18 / $20.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.69 / $101.19 / $105.24