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Vermont rates for HCPCS A4428

Ostomy Pouch Urinary With Extended Wear Barrier Attached With Faucet-Type Tap With Valve (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $6.15 / $6.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.47 / $5.47 / $5.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.65 / $5.29 / $5.79
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.47 / $5.47 / $5.79
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.65 / $5.47 / $5.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.03 / $5.53 / $10.52