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Alabama rates for HCPCS A4361

Ostomy Faceplate Each (Special Coverage Instructions Apply. See Mcm: 2130a)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.64 / $18.64 / $18.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.27 / $18.64 / $21.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.10 / $19.10 / $19.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.42 / $15.42 / $15.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.11 / $15.42 / $25.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.26 / $10.88 / $17.38