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Missouri 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
$4.23 / $6.89 / $9.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $5.55 / $10.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.95 / $4.95 / $8.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.93 / $5.93 / $6.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $5.04 / $6.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.59 / $8.88 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $4.93 / $7.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $4.93 / $7.42