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Vermont rates for HCPCS Q4239

Amnio-maxx or lite per sq cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,902.62 / $1,902.62 / $1,902.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.93 / $2,660.29 / $4,433.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,902.62 / $1,902.62 / $4,433.82
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.93 / $2,660.29 / $4,433.82
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,902.62 / $1,902.62 / $4,433.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,902.62 / $1,902.62 / $5,707.86