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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
$11.03 / $14.18 / $14.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $13.91 / $14.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $11.82 / $14.33
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $13.91 / $14.33
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $12.49 / $14.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.98 / $12.77 / $24.26