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Missouri rates for HCPCS A4394

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fl oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.55 / $2.52 / $3.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $2.04 / $4.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $2.52 / $3.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $1.81 / $2.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $2.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.68 / $3.26 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.81 / $2.90
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.91 / $2.91 / $2.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.81 / $2.71