go back

Vermont rates for HCPCS Q4180

Revita Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.12 / $656.12 / $656.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.98 / $1,166.20 / $1,462.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.12 / $656.12 / $1,462.86
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.98 / $1,166.20 / $1,462.86
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.12 / $656.12 / $1,462.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.12 / $656.12 / $1,968.36