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Vermont rates for HCPCS A4378

Ostomy pouch, drainable, for use on faceplate, rubber, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $27.54 / $32.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $25.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $25.70
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $41.69 / $42.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $16.60 / $19.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $26.30 / $89.13