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Vermont rates for HCPCS A4388

Ostomy Pouch Drainable With Extended Wear Barrier Attached (1 Piece) Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.21 / $4.12 / $4.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.93 / $4.93 / $4.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $3.66 / $3.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.36 / $3.88
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $3.66 / $3.88
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.36 / $3.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.37 / $2.78 / $2.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $3.71 / $7.05