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Vermont rates for HCPCS A4379

Ostomy pouch, urinary, with faceplate attached, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $13.49 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $13.80 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $11.75 / $13.80
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $20.42 / $20.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $8.13 / $9.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $12.88 / $43.65