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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
$3.02 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $5.01 / $10.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.51 / $8.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.68 / $8.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $5.37 / $8.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $5.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.37 / $7.59 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $4.37 / $43.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $3.39 / $5.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $4.17 / $6.31