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Vermont rates for HCPCS Q4201

Matrion 1 sq cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.09 / $76.09 / $76.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.78 / $97.75 / $162.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.09 / $76.09 / $162.91
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.78 / $97.75 / $162.91
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.09 / $76.09 / $162.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.09 / $76.09 / $228.27