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Vermont rates for HCPCS Q4111

Gammagraft Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $7.87 / $24.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.43 / $8.60 / $14.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $7.87 / $14.34
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.43 / $8.60 / $14.34
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $7.87 / $14.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.69 / $7.87 / $23.61