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Vermont rates for HCPCS 21180

Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $2,041.74 / $4,265.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $2,344.23 / $3,801.89
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,344.23 / $2,754.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,398.83 / $4,073.80