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Mississippi rates for HCPCS A4375

Ostomy Pouch Drainable With Faceplate Attached Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.96 / $19.96 / $20.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.36 / $19.96 / $20.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.53 / $19.53 / $21.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.60 / $18.60 / $18.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.93 / $15.93 / $16.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.78 / $13.54 / $15.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.78 / $11.17 / $20.29