go back

Vermont rates for HCPCS Q4196

PuraPly Antimicro 3.76x3.76CM EX SHEE

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.03 / $101.03 / $387.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.31 / $119.39 / $198.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.03 / $101.03 / $198.99
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.31 / $119.39 / $198.99
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.03 / $101.03 / $198.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.03 / $101.03 / $303.08