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Vermont rates for HCPCS A5126

Adhesive Or Non-Adhesive; Disk Or Foam Pad (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $1.25 / $1.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.96 / $1.12
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.96 / $1.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $1.39 / $2.14