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Missouri rates for HCPCS A4376

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.47 / $46.37 / $66.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.47 / $37.33 / $73.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.31 / $33.31 / $54.68
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 / $46.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.91 / $59.83 / $312.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.36 / $33.17 / $53.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.11 / $33.17 / $47.58