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Alabama rates for HCPCS A4376

Ostomy Pouch Drainable With Faceplate Attached Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.31 / $48.31 / $48.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.89 / $48.31 / $55.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.48 / $49.48 / $49.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.94 / $39.94 / $39.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.95 / $39.94 / $64.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $28.19 / $45.02