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Vermont rates for HCPCS A4393

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

Facilitymedian $8 · 10th–90th $5–$80%20%40%10th90th$8Professionalmedian $8 · 10th–90th $6–$110%20%10th90th$8$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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $8.13 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $7.94
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $7.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $12.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $5.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $7.76 / $25.70