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Alabama rates for HCPCS A4387

Ostomy pouch, closed, with barrier attached, with built-in convexity (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $2.27 / $2.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $9.00 / $9.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $1.89 / $1.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.89 / $3.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $1.57 / $3.18