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Florida rates for HCPCS A4389

Ostomy pouch, drainable, with barrier attached, with built-in convexity (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $6.03 / $6.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $6.03 / $7.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $5.25 / $6.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $5.25
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $4.17 / $5.75
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $5.25 / $8.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $5.13 / $13.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $3.72 / $5.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $4.17 / $5.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $5.13 / $8.91