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Missouri rates for HCPCS A4367

Ostomy belt, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.41 / $7.71 / $10.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.41 / $5.55 / $11.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.45 / $10.45 / $10.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $8.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.18 / $6.18 / $6.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $6.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.78 / $9.25 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.61 / $5.13 / $8.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.61 / $5.13 / $7.34