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Vermont rates for HCPCS 21275

Secondary revision of orbitocraniofacial reconstruction

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,023.29 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,148.15 / $1,905.46
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,174.90 / $1,380.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,202.26 / $3,467.37