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Vermont rates for HCPCS A4617

Mouth Piece (Special Coverage Instructions Apply. See Cim: 60-4 And Mcm: 3312)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $2.27 / $4.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $1.77 / $7.69
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $1.77 / $7.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $3.25 / $5.00