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Vermont rates for HCPCS 15135

Dermal Autograft F/S/N/H/F/G/M/D Gt 1st 100

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