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Alabama rates for HCPCS A4375

Ostomy Pouch Drainable With Faceplate Attached Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.44 / $17.44 / $17.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.39 / $17.44 / $19.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.86 / $17.86 / $17.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.93 / $15.93 / $16.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.78 / $13.54 / $16.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.78 / $10.18 / $16.25