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Vermont rates for HCPCS Q4141

AlloSkin AC, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $106.97 / $106.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.87 / $42.87 / $100.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.44 / $106.97 / $106.97
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.87 / $42.87 / $100.91
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.44 / $106.97 / $111.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $106.97 / $320.91