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Vermont rates for HCPCS A4398

Ostomy Irrigation Supply; Bag Each (Special Coverage Instructions Apply. See Mcm: 2130a)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.46 / $12.65 / $12.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.16 / $15.16 / $15.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.60 / $11.60 / $14.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $11.05 / $14.33
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.60 / $11.60 / $14.33
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $11.05 / $14.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.23 / $11.39 / $21.64