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Mississippi 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
$11.16 / $11.16 / $11.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.91 / $11.16 / $11.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.92 / $10.92 / $12.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.40 / $10.40 / $10.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $8.07 / $8.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $6.86 / $9.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $6.25 / $11.35