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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
$53.21 / $76.48 / $100.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.28 / $89.28 / $89.28
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.28 / $89.28 / $165.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.29 / $137.72 / $224.73