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Vermont rates for HCPCS A4231

Infusion Set For External Insulin Pump Needle Type (Special Coverage Instructions Apply. See Cim: 60-14)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.66 / $24.22 / $24.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.85 / $10.85 / $10.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $4.04 / $4.04
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $4.04 / $4.04