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Vermont rates for HCPCS A4390

Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (one piece), each

Facilitymedian $8 · 10th–90th $5$90%50%10th90th$8Professionalmedian $9 · 10th–90th $7$120%20%10th90th$9$5.0$10.0$20.0$50.0

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
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$8.91
Typical High
$12.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$8.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$8.32
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$13.18
United
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$6.17
United
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$8.32
Typical High
$26.92