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Vermont rates for HCPCS A4426

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $2.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.09 / $3.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $2.40
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.72 / $3.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $2.75 / $7.94