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Florida 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
$6.05 / $7.57 / $10.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $8.52 / $11.75
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.95 / $7.72 / $13.41
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 / $6.86 / $8.53
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.41 / $8.67 / $8.72
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.79 / $9.17 / $13.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.11 / $7.87 / $8.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.71 / $6.41 / $7.81
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $7.87 / $7.87