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Vermont rates for HCPCS Q4128

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $29.91 / $29.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.70 / $27.70 / $46.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $29.91 / $46.16
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.70 / $27.70 / $46.16
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $29.91 / $46.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $29.91 / $89.73