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Vermont rates for HCPCS 14040

Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.89 / $779.25 / $1,051.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,066.91 / $3,066.91 / $3,809.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.02 / $1,059.97 / $3,248.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.02 / $959.71 / $2,183.98
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.63 / $1,112.85 / $2,183.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.63 / $1,072.83 / $3,118.81