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Vermont rates for HCPCS A4400

Ostomy Irrigation Set (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.88 / $46.13 / $46.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.02 / $41.02 / $41.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.86 / $34.86 / $39.88
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.02 / $41.02 / $41.02
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.86 / $34.86 / $39.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.62 / $41.54 / $78.93