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Vermont rates for HCPCS Q4258

Enverse, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $89.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.30 / $81.30 / $135.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $135.50
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.30 / $81.30 / $135.50
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $135.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $93.34 / $1,417.41