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Vermont rates for HCPCS 15769

Grafting Of Autologous Soft Tiss By Direct Exc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.11 / $550.22 / $1,263.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.15 / $690.39 / $1,713.90
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.15 / $727.22 / $1,713.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.75 / $689.00 / $2,103.62