go back

Vermont rates for HCPCS A4392

Ostomy Pouch Urinary With Standard Wear Barrier Attached With Built-In Convexity (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $7.72 / $7.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $6.86 / $7.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $6.73 / $7.64
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $6.86 / $7.64
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $6.86 / $7.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $6.95 / $13.21