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Vermont rates for HCPCS 21245

Rcnstj Mndbl/Maxl Subpriosteal Implant Partial

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.08 / $1,117.03 / $1,397.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,155.25 / $1,702.20 / $2,753.75
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.98 / $1,649.62 / $2,753.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,375.53 / $1,701.42 / $5,028.04