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Vermont rates for HCPCS Q4196

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $95.50 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $131.83 / $213.80