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Florida rates for HCPCS A4377

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $3.98 / $4.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.98 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $3.63 / $4.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.09 / $3.63
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $2.82 / $3.89
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $3.63 / $6.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $3.55 / $9.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $2.51 / $3.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.88 / $3.63
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.55 / $6.17