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Vermont rates for HCPCS 15150

Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.38 / $727.93 / $1,678.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.01 / $900.57 / $1,561.90
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.01 / $945.43 / $1,561.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.76 / $971.28 / $2,851.86