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Vermont rates for HCPCS 21208

Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,621.81 / $2,511.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,025.60 / $6,025.60 / $6,025.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,737.80 / $3,162.28
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,570.40 / $2,754.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,862.09 / $3,801.89