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Vermont rates for HCPCS A4384

Ostomy faceplate equivalent, silicone ring, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $8.71 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $8.13 / $8.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $6.92 / $8.13
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $13.18 / $13.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $5.25 / $6.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $10.00 / $28.18