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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
$1.00 / $2.00 / $2.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $2.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $1.91 / $1.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.62 / $1.91
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $2.82 / $3.89
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $1.91 / $3.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $3.31 / $5.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $2.00 / $2.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.58 / $2.75
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.31 / $3.31