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Vermont rates for HCPCS A5071

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.41 / $5.67 / $5.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.04 / $5.04 / $5.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.80 / $5.34
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.04 / $5.04 / $5.34
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $5.04 / $5.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.56 / $6.69 / $6.98