go back

Vermont rates for HCPCS Q4113

Graftjacket Xpress

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.28 / $762.88 / $762.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.88 / $762.88 / $762.88
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.88 / $762.88 / $762.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,697.88 / $1,997.50 / $5,992.50