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Alabama rates for HCPCS A4377

Ostomy pouch, drainable, for use on faceplate, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.98 / $5.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $4.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $3.63 / $9.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.09 / $7.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $2.34 / $3.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $2.51 / $3.89