go back

Delaware rates for HCPCS A4375

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.36 / $14.71 / $20.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.93 / $15.93 / $15.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.78 / $9.78 / $13.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $11.97 / $18.04