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Vermont rates for HCPCS A4389

Ostomy Pouch Drainable With Barrier Attached With Built-In Convexity (1 Piece) Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $5.87 / $5.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.02 / $7.02 / $7.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.22 / $5.22 / $5.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $5.22 / $5.78
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.22 / $5.22 / $5.78
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $5.29 / $5.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.89 / $5.29 / $10.05