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Vermont rates for HCPCS A4379

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

Facilitymedian $14 · 10th–90th $8–$140%20%40%10th90th$14Professionalmedian $14 · 10th–90th $11–$190%20%40%10th90th$14$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.13 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $11.75 / $13.80
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $20.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $9.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $12.88 / $42.66