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Vermont rates for HCPCS A5081

Stoma Plug Or Seal Any Type Revised 1/1/2014

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $3.12 / $3.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.60 / $2.60 / $2.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $2.21 / $2.68
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.60 / $2.60 / $2.68
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $2.60 / $2.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $2.81 / $5.34