go back

Vermont rates for HCPCS Q4191

Restorigin, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.29 / $655.29 / $655.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.21 / $1,064.32 / $1,773.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.29 / $655.29 / $1,773.87
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.21 / $1,064.32 / $1,773.87
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.29 / $655.29 / $1,773.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.29 / $655.29 / $1,965.90