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Vermont rates for HCPCS A6025

Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.51 / $11.27 / $14.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $74.23
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $74.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.60 / $21.32 / $74.48