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Mississippi rates for HCPCS A4387

Ostomy Pouch Closed With Barrier Attached With Built-In Convexity (1 Piece) Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $2.61 / $2.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.61 / $2.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.99 / $2.99 / $3.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $1.89 / $2.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.61 / $2.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $1.57 / $3.97