go back

Mississippi 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
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.02 / $5.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.16 / $6.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $3.63 / $3.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.09 / $4.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $2.34 / $3.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $2.88 / $4.68