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Vermont rates for HCPCS 25931

Transmetacarpal Amputation Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.25 / $836.25 / $960.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.07 / $1,236.55 / $1,733.30
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.59 / $1,146.77 / $1,733.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.16 / $1,070.92 / $3,164.79