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Vermont rates for HCPCS P9020

Platelet Rich Plasma Each Unit (Special Coverage Instructions Apply. See Mcm: 2455 B)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.71 / $311.20 / $311.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.04 / $116.04 / $116.04
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.04 / $116.04 / $116.04