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Vermont rates for HCPCS A4357

Bedside Drainage Bag Day Or Night With Or Without Anti-Reflux Device With Or Without Tube Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $7.79 / $7.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.32 / $9.32 / $9.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.40 / $8.15 / $8.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.40 / $6.93 / $8.39
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.40 / $8.15 / $8.15
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.40 / $8.15 / $8.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.84 / $7.30 / $13.32