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Vermont rates for HCPCS A5093

Ostomy Accessory; Convex Insert (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $1.84 / $1.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.20 / $2.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $1.64 / $1.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.44 / $1.69
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $1.64 / $1.64
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.64 / $1.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $2.04 / $3.14