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Vermont rates for HCPCS Q4156

Neox 100 or Clarix 100, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $65.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.15 / $73.30 / $122.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $122.17
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.15 / $73.30 / $122.17
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $122.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $69.83 / $197.64