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Vermont rates for HCPCS A5073

Ostomy pouch, urinary; for use on barrier with flange (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $2.69 / $3.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $3.31
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $4.17 / $4.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.74 / $2.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $2.63 / $9.12