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Vermont rates for HCPCS Q4164

Helicoll Per Sqaure Centimeter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.93 / $1,640.93 / $1,640.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.70 / $364.70 / $1,548.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.83 / $1,640.93 / $1,640.93
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.70 / $364.70 / $1,548.05
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.83 / $1,640.93 / $1,702.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.93 / $1,640.93 / $4,922.79