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Vermont rates for HCPCS A4376

Ostomy Pouch Drainable With Faceplate Attached Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.94 / $44.92 / $44.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.94 / $39.94 / $39.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.95 / $38.92 / $41.14
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.94 / $39.94 / $39.94
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.95 / $39.94 / $41.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.11 / $40.44 / $76.84