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Mississippi rates for HCPCS A4378

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $34.67 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $26.92 / $37.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $34.67 / $38.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
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 / $30.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $16.60 / $22.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $20.42 / $32.36