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Vermont rates for HCPCS A4377

Ostomy Pouch Drainable For Use On Faceplate Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.15 / $4.05 / $4.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $3.60 / $3.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.36 / $3.71
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $3.60 / $3.60
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.60 / $3.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $3.65 / $6.92