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Vermont rates for HCPCS A5056

Ostomy pouch, drainable, with extended wear barrier attached, with filter, (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $4.51 / $4.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.29 / $5.29 / $5.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.93 / $3.93 / $4.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $3.93 / $4.32
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.93 / $3.93 / $4.16
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $4.05 / $4.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.77 / $5.20 / $5.43