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Vermont rates for HCPCS Q4256

Mlg complet, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.05 / $735.05 / $735.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.44 / $1,058.52 / $1,764.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.05 / $735.05 / $1,764.19
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.44 / $1,058.52 / $1,764.19
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.05 / $735.05 / $1,764.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.05 / $735.05 / $2,205.15