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Vermont rates for HCPCS G0429

Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (LDS) (e.g., as a result of highly active antiretroviral therapy)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $89.13 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $120.23
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $165.96 / $165.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $128.82 / $229.09