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Missouri rates for HCPCS A4381

Ostomy pouch, urinary, for use on faceplate, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.77 / $4.50 / $6.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.77 / $3.63 / $7.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.23 / $5.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.88 / $3.88 / $3.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.30 / $4.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.00 / $5.81 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $3.23 / $5.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $3.13 / $4.61