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Vermont rates for HCPCS Q4195

Puraply Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.94 / $97.94 / $367.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.40 / $113.40 / $189.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.94 / $97.94 / $189.01
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.40 / $113.40 / $189.01
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.94 / $97.94 / $189.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.94 / $97.94 / $293.82