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Florida rates for HCPCS A4375

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.82 / $13.53 / $18.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.82 / $15.30 / $21.01
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 / $13.54
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.11 / $15.49 / $16.05
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.92 / $16.38 / $23.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.13 / $14.06 / $15.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.43 / $11.47 / $14.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.06 / $14.06 / $14.06