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Missouri rates for HCPCS A4380

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.34 / $36.38 / $52.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.34 / $29.29 / $57.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.13 / $26.13 / $42.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.45 / $34.45 / $35.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.28 / $29.28 / $35.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.25 / $46.94 / $245.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.32 / $26.02 / $41.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.35 / $26.02 / $37.33