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Vermont rates for HCPCS 14021

Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $891.25 / $3,090.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,230.27 / $3,162.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,096.48 / $2,570.40
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,445.44 / $1,445.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,096.48 / $2,041.74