go back

Missouri rates for HCPCS A4388

Ostomy pouch, drainable, with extended wear barrier attached, (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $4.26 / $6.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $3.42 / $6.73
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.10 / $6.10 / $6.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $3.05 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $3.66 / $3.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.11 / $3.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.84 / $5.48 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $3.04 / $4.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.37 / $3.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $3.04 / $4.36