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Florida rates for HCPCS A4391

Ostomy pouch, urinary, with extended wear barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $7.08 / $7.94
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $6.61 / $6.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $5.89 / $7.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.89
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $4.57 / $6.31
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $6.03 / $10.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $5.75 / $15.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $4.17 / $6.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $4.68 / $6.03
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $5.75 / $10.00