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Vermont rates for HCPCS Q4116

AlloDerm, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.47 / $26.44 / $26.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.11 / $31.11 / $31.11
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.11 / $31.11 / $32.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.11 / $31.11 / $93.33