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Vermont rates for HCPCS 15760

Graft Composite W/Primary Closure Donor Area

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.54 / $861.81 / $1,859.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.22 / $1,074.71 / $2,434.30
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.11 / $1,234.30 / $2,434.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.01 / $1,197.48 / $3,767.36