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Mississippi rates for HCPCS A4376

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $42.66 / $57.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $53.70 / $58.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $46.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $25.70 / $35.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $31.62 / $50.12