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Mississippi 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
$9.50 / $9.50 / $9.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $8.30 / $9.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.30 / $9.30 / $10.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.86 / $8.86 / $8.86
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 / $8.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $5.32 / $9.66