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Vermont rates for HCPCS A4419

Ostomy pouch, closed; for use on barrier with nonlocking flange, with filter (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $1.65 / $1.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $1.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.44
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.54
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $1.48 / $2.82