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Vermont rates for HCPCS A4357

Bedside drainage bag, day or night, with or without antireflux device, with or without tube, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $7.08 / $10.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $9.33 / $9.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $8.13 / $8.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $6.92 / $8.13
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $11.22 / $13.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $6.17 / $6.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $7.76 / $23.99