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Florida 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
$5.69 / $7.13 / $9.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.69 / $7.81 / $11.06
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.61 / $7.61 / $7.61
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 / $6.45 / $8.03
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.41 / $8.14 / $8.72
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.44 / $8.75 / $12.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $7.51 / $8.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.54 / $6.04 / $7.58
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.51 / $7.51 / $7.51