go back

Vermont rates for HCPCS A4211

Supplies For Self-Administered Injections (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.50 / $8.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00