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Missouri rates for HCPCS A4409

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 in or smaller, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $6.06 / $8.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $4.87 / $9.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.07 / $6.07 / $10.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $4.34 / $7.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.22 / $5.22 / $5.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $4.44 / $5.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.04 / $7.80 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $4.33 / $6.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.89 / $4.33 / $6.22