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Missouri rates for HCPCS A4385

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.05 / $4.97 / $7.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.99 / $7.51
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.98 / $7.12 / $8.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.57 / $5.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.28 / $4.28 / $4.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $3.64 / $4.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $6.32 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $3.55 / $5.70
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $5.73 / $5.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $3.55 / $5.09