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Vermont rates for HCPCS A5051

Ostomy Pouch Closed; With Barrier Attached (1 Piece) Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.95 / $1.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.73 / $1.92
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.73
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.73 / $1.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.76 / $3.34