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Vermont rates for HCPCS A4404

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $1.43 / $1.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.41 / $1.74
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.74
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.44 / $1.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $1.35 / $2.45