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Vermont rates for HCPCS A4411

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.98 / $5.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $5.75 / $5.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $3.63 / $4.37
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $6.92 / $7.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $2.75 / $3.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $5.37 / $14.79