go back

Missouri rates for HCPCS A4373

Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.75 / $6.11 / $8.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $4.91 / $9.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $7.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.26 / $5.26 / $5.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $5.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $7.88 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.08 / $4.37 / $7.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.08 / $4.37 / $6.59