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Vermont rates for HCPCS Q4166

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.05 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $30.90 / $125.89