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Florida 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
$1.50 / $1.77 / $2.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $2.02 / $2.75
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 / $1.61 / $1.95
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.96 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $3.14 / $4.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $3.28 / $3.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.57 / $2.58
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.28 / $3.28 / $3.28