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Vermont rates for HCPCS A4367

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.89 / $5.90 / $5.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.07 / $7.07 / $7.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.18 / $6.18 / $6.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $6.18 / $6.54
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.18 / $6.18 / $6.54
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $6.25 / $6.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $6.56 / $10.09