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Vermont rates for HCPCS A4434

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.77 / $3.56 / $3.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $3.51 / $3.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $2.98 / $3.62
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $3.51 / $3.51
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $3.51 / $3.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $3.20 / $6.08