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Florida rates for HCPCS A4376

Ostomy Pouch Drainable With Faceplate Attached Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.98 / $37.49 / $50.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.98 / $42.39 / $58.21
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 / $33.95 / $41.14
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.33 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.06 / $51.11 / $66.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.31 / $38.95 / $42.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.36 / $31.79 / $38.06
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.95 / $38.95 / $38.95