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Vermont rates for HCPCS A5072

Ostomy Pouch Urinary; Without Barrier Attached (1piece) Each (Updated 01-01-2003) 30)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $3.33 / $3.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $2.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.43 / $2.95
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $2.95
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.86 / $2.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $3.70 / $5.69