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Vermont rates for HCPCS A4394

Ostomy Deodorant With Or Without Lubricant For Use In Ostomy Pouch Per Fluid Ounce

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $2.44 / $2.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $2.93 / $2.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.92 / $2.29
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.29
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.18 / $2.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $2.71 / $4.17