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Vermont rates for HCPCS A4409

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 in or smaller, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $5.87 / $5.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.02 / $7.02 / $7.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.22 / $5.22 / $5.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $5.22 / $5.53
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.22 / $5.22 / $5.53
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $5.29 / $5.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.89 / $5.29 / $10.05