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Vermont rates for HCPCS 15004

Prep Site F/S/N/H/F/G/M/D Gt 1st 100 Sq Cm/1pct

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.58 / $399.14 / $580.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.61 / $421.13 / $1,132.33
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.17 / $569.98 / $1,132.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.58 / $538.16 / $1,649.57