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Vermont rates for HCPCS Q4117

Hyalomatrix Per Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.80 / $24.39 / $24.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.02 / $46.02 / $46.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.39 / $24.39 / $46.02
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.02 / $46.02 / $46.02
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.39 / $24.39 / $46.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.26 / $28.69 / $86.07