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Missouri rates for HCPCS A4379

Ostomy pouch, urinary, with faceplate attached, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $19.95 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $12.88 / $25.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $10.96 / $19.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $21.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $13.80 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $11.75 / $11.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $18.20 / $97.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $10.47 / $104.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $8.13 / $13.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $10.00 / $14.79