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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
$55.30 / $55.30 / $57.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.21 / $55.30 / $57.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.10 / $54.10 / $59.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.52 / $51.52 / $51.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.94 / $39.94 / $45.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.95 / $33.95 / $46.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $30.93 / $56.19