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Mississippi rates for HCPCS A4377

Ostomy Pouch Drainable For Use On Faceplate Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.98 / $4.98 / $5.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $4.98 / $5.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.88 / $4.88 / $5.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.65 / $4.65 / $4.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $3.60 / $4.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.06 / $4.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $2.79 / $6.44