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Vermont rates for HCPCS Q4199

Cygnus matrix, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $111.15 / $111.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.86 / $376.33 / $627.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $111.15 / $627.21
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.86 / $376.33 / $627.21
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $111.15 / $627.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $111.15 / $333.45