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Florida rates for HCPCS A4392

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $6.44 / $8.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.15 / $7.25 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $6.86 / $7.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $5.83 / $7.35
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.22 / $7.38 / $7.38
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.91 / $7.38 / $11.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.53 / $5.44 / $5.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $5.46 / $6.64
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.44 / $5.44 / $5.73