go back

Vermont rates for HCPCS A5052

Ostomy pouch, closed; without barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.45
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $2.04 / $2.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $0.81 / $0.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $1.51 / $4.37