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Vermont rates for HCPCS Q4108

Integra Matrix Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.54 / $38.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.36 / $57.14 / $95.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.54 / $95.24
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.36 / $57.14 / $95.24
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.54 / $95.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.54 / $115.62