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Vermont rates for HCPCS A4399

Ostomy irrigation supply; cone/catheter, with or without brush

Facilitymedian $10 · 10th–90th $7–$130%20%40%10th90th$10Professionalmedian $11 · 10th–90th $8–$160%20%10th90th$11$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
$7.94 / $10.96 / $15.85
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $12.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $10.72
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $16.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $7.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $10.72 / $34.67