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Alabama rates for HCPCS A4377

Ostomy Pouch Drainable For Use On Faceplate Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.34 / $4.34 / $4.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $4.34 / $4.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $4.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $3.60 / $3.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.60 / $5.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $2.54 / $4.05