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Vermont rates for HCPCS 15135

Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $831.76 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,122.02 / $2,570.40
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,445.44 / $1,445.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,071.52 / $1,995.26