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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
$2.70 / $3.38 / $4.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.70 / $3.82 / $5.24
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 / $3.06 / $3.71
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.96 / $3.88 / $3.88
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.48 / $4.09 / $5.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.28 / $3.51 / $3.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $2.87 / $3.43
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $3.51 / $3.51