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Vermont rates for HCPCS 21422

Open Treatment Palatal/Maxillary Fracture

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.01 / $818.57 / $818.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.04 / $1,136.28 / $1,451.72
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.04 / $966.55 / $1,451.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.98 / $911.81 / $1,568.45