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Vermont rates for HCPCS Q4226

MyOwn Skin, includes harvesting and preparation procedures, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.60 / $1,224.00 / $1,224.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.67 / $555.67 / $555.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.67 / $1,224.00 / $1,224.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.67 / $555.67 / $555.67
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.67 / $1,224.00 / $1,224.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.00 / $1,224.00 / $3,600.00