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Vermont rates for HCPCS 13121

Repair Complex Scalp/Arm/Leg 2.6-7.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,158.75 / $1,158.75 / $1,158.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.19 / $440.26 / $702.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.79 / $605.60 / $1,781.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.28 / $590.84 / $1,525.74
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.04 / $622.91 / $1,525.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.38 / $612.50 / $1,780.58