go back

Vermont rates for HCPCS Q4190

Artacent ac, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.32 / $112.32 / $112.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.96 / $200.94 / $334.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.32 / $112.32 / $334.89
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.96 / $200.94 / $334.89
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.32 / $112.32 / $334.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.32 / $112.32 / $336.96