go back

Vermont rates for HCPCS A5057

Ostomy Pouch Drainable With Extended Wear Barrier Attached With Built In Convexity With Filter (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.22 / $9.28 / $9.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.85 / $10.85 / $10.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $8.07 / $8.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $8.07 / $8.65
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $8.07 / $8.53
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $8.31 / $8.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $8.77 / $15.88