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Alabama rates for HCPCS A4393

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.18 / $9.18 / $9.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.58 / $9.18 / $10.51
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.58 / $7.58 / $7.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.53 / $8.53 / $8.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $8.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $7.59 / $12.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $5.36 / $8.55