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Alabama rates for HCPCS A4375

Ostomy pouch, drainable, with faceplate attached, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $16.98 / $19.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $17.78 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $15.85 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $13.49 / $16.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $9.33 / $15.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $10.23 / $15.85