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Vermont rates for HCPCS Q4152

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $50.72 / $50.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.84 / $61.84 / $103.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.71 / $50.71 / $103.06
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.84 / $61.84 / $103.06
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.71 / $50.71 / $103.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $50.72 / $152.16