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Missouri rates for HCPCS A4378

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $41.69 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $26.92 / $51.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.88 / $40.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $26.30 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $25.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $25.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $38.02 / $199.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $21.38 / $213.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $16.60 / $27.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $20.42 / $30.90