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Vermont rates for HCPCS 15274

App Skn Sub Grft T/A/L Area>=100scm Adl 100sqcm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.04 / $68.98 / $121.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.45 / $84.70 / $237.55
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.70 / $101.04 / $237.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.29 / $111.33 / $323.64