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Vermont rates for HCPCS 21147

Rcnstj Midface Lefort I 3/> Piece W/Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,683.03 / $2,039.39 / $2,039.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,795.15 / $3,008.87 / $3,906.34
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,805.08 / $2,551.11 / $3,906.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,055.00 / $2,413.56 / $7,132.54