search again

Nationwide rates for HCPCS A4390

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.40 / $8.56 / $9.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.86 / $8.50 / $11.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.73 / $6.73 / $15.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $10.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $8.07 / $8.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $7.69 / $9.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $6.37 / $9.61