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Vermont rates for HCPCS Q4153

Dermavest And Plurivest Per Square Centimeter (Revised 01/01/2016)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $137.93 / $137.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.12 / $145.00 / $241.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $137.93 / $241.66
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.12 / $145.00 / $241.66
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $137.93 / $241.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $137.93 / $413.79