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Vermont rates for HCPCS 15276

Sub Grft F/S/N/H/F/G/M/D<100sq Cm Ea Addl25sq Cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $32.71 / $66.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.22 / $38.22 / $92.24
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $46.61 / $92.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.99 / $48.08 / $139.52