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Vermont rates for HCPCS A5061

Ostomy pouch, drainable; with barrier attached, (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $3.33 / $3.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.97 / $2.97 / $3.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.88 / $3.14
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.97 / $2.97 / $3.14
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.97 / $3.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $2.99 / $5.69