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Missouri rates for HCPCS A4383

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.87 / $27.47 / $39.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.87 / $22.12 / $43.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.73 / $19.73 / $32.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.07 / $26.07 / $26.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $22.16 / $22.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.30 / $35.44 / $184.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.84 / $19.64 / $31.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.10 / $19.64 / $28.19