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Mississippi 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
$7.22 / $7.22 / $7.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $6.31 / $7.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.07 / $7.07 / $7.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $6.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.22 / $5.22 / $5.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $4.44 / $6.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $4.04 / $7.35