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Vermont rates for HCPCS A4361

Ostomy Faceplate Each (Special Coverage Instructions Apply. See Mcm: 2130a)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.09 / $16.82 / $16.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.42 / $15.42 / $15.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.11 / $14.89 / $15.88
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.42 / $15.42 / $15.42
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.11 / $15.42 / $15.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.27 / $15.16 / $28.80