go back

Vermont rates for HCPCS Q4137

Amnioexcel Aminoexcel Plus Or Biodexcel Per Square Centimeter (Desc Rvsd 1/1/19)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $101.72 / $296.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.96 / $115.68 / $192.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $101.72 / $192.80
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.96 / $115.68 / $192.80
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $101.72 / $192.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $101.72 / $305.16