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Vermont rates for HCPCS A4563

Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.45 / $112.44 / $112.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.00 / $120.00 / $120.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $120.00 / $152.31
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.00 / $120.00 / $120.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $120.00 / $152.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.42 / $106.19 / $192.18