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Vermont rates for HCPCS 21025

Excision Bone Mandible

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.57 / $917.54 / $1,086.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.44 / $1,270.70 / $1,878.70
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.91 / $1,270.70 / $1,878.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.07 / $1,197.84 / $3,430.32