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Vermont rates for HCPCS Q4124

Oasis Tri-Layer Wound Matrix

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.49 / $2.49 / $2.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.35 / $10.29 / $17.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.49 / $2.49 / $17.14
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.35 / $10.29 / $17.14
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.49 / $2.49 / $17.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.49 / $2.49 / $7.47