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Vermont rates for HCPCS A4221

Supplies for maintenance of noninsulin drug infusion catheter, per week (list drugs separately)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $15.85 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $24.55 / $25.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $19.05 / $56.23