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Vermont rates for HCPCS Q4123

Alloskin Rt Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.55 / $71.55 / $71.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.50 / $74.23 / $81.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.55 / $71.55 / $74.23
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.50 / $74.23 / $81.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.55 / $71.55 / $74.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.19 / $71.55 / $214.65