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Vermont rates for HCPCS 17004

Destruction Premalignant Lesion 15/>

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.91 / $173.20 / $261.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.36 / $323.39 / $987.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.86 / $180.95 / $491.05
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.19 / $221.24 / $491.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.77 / $225.02 / $654.16