go back

Vermont rates for HCPCS A4425

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $3.38 / $3.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $4.05 / $4.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.01 / $3.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $2.56 / $2.88
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.01 / $3.19
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $2.56 / $2.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $3.04 / $5.78