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Vermont rates for HCPCS L3390

Outflare Wedge (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.45 / $28.45 / $32.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.99 / $43.99 / $43.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.11 / $43.99 / $46.90
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.99 / $43.99 / $43.99
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.11 / $43.99 / $46.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.38 / $34.53 / $67.39