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Vermont rates for HCPCS A4433

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $3.02 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $2.82 / $2.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.88
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $4.57 / $4.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $1.82 / $2.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $3.55 / $9.77