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Vermont rates for HCPCS 15130

Dermal Autograft Trunk/Arm/Leg 1st 100 Cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.38 / $733.81 / $1,465.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.50 / $860.65 / $2,078.96
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.42 / $1,000.59 / $2,078.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.42 / $986.28 / $2,962.97