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Vermont rates for HCPCS 21138

Rdctj Fhd Cntrg & Prosthetic Matrl/Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.08 / $1,088.88 / $1,088.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.83 / $1,574.87 / $2,068.42
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.93 / $1,369.03 / $2,068.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.09 / $1,299.14 / $3,776.70