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Vermont rates for HCPCS Q4154

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $138.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $147.91 / $389.05