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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
$771.96 / $900.85 / $1,967.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.29 / $1,109.51 / $2,520.46
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.30 / $1,265.56 / $2,520.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.30 / $1,173.86 / $3,590.43