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Vermont rates for HCPCS A4390

Ostomy Pouch Drainable With Extended Wear Barrier Attached With Built-In Convexity (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.06 / $9.07 / $9.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.85 / $10.85 / $10.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $8.07 / $8.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $7.69 / $8.53
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $8.07 / $8.53
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $8.07 / $8.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $8.17 / $15.52