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Vermont rates for HCPCS A4430

Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.26 / $8.05 / $8.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.63 / $9.63 / $9.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.15 / $7.15 / $7.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $6.73 / $7.57
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.15 / $7.15 / $7.57
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $7.15 / $7.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.11 / $8.94 / $13.77