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Vermont rates for HCPCS A4432

Ostomy pouch, urinary; for use on barrier with nonlocking flange, with faucet-type tap with valve (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $3.39 / $3.39
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 / $2.88 / $3.19
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 / $3.01 / $3.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $3.05 / $5.80