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Vermont rates for HCPCS 15278

Sub Grft F/S/N/H/F/G/M/D >= 100scm Adl 100sq Cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.56 / $91.66 / $151.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.83 / $100.01 / $274.06
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.42 / $127.58 / $274.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.29 / $131.05 / $380.98