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Vermont rates for HCPCS 21143

Rcnstj Midface Lefort I 3/> Piece W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,671.80 / $1,773.19 / $1,773.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,482.31 / $2,441.82 / $3,249.07
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,498.92 / $2,121.96 / $3,249.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,699.95 / $2,040.70 / $5,932.45