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Vermont rates for HCPCS 13121

Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $478.63 / $1,548.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $588.84 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $588.84 / $1,548.82
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $707.95 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $501.19 / $1,000.00