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Vermont rates for HCPCS A4415

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 in, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $5.66 / $5.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.03 / $5.03 / $5.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.80 / $5.33
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.03 / $5.03 / $5.33
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.80 / $5.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $6.30 / $9.69