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Vermont rates for HCPCS 20933

Allograft, includes templating, cutting, placement and internal fixation, when performed; hemicortical intercalary, partial (ie, hemicylindrical) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.30 / $831.09 / $831.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.73 / $1,046.36 / $1,465.30
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.83 / $1,032.24 / $1,465.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.34 / $978.71 / $1,521.24