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Vermont rates for HCPCS Q4248

Dermacyte amniotic membrane allograft, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.20 / $555.20 / $555.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.78 / $3,166.54 / $5,277.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.20 / $555.20 / $5,277.56
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.78 / $3,166.54 / $5,277.56
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.20 / $555.20 / $5,277.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.20 / $588.51 / $1,665.60