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Vermont rates for HCPCS A5073

Ostomy Pouch Urinary; For Use On Barrier With Flange (2 Piece) Each (Updated 01-01-2003) Cm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.93 / $2.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $2.67 / $3.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.40 / $3.30
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $2.67 / $3.30
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.67 / $3.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $2.64 / $5.01