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Florida rates for HCPCS A4412

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), without filter, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $2.13 / $2.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $2.41 / $3.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $1.93 / $2.43
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $2.45 / $2.45
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $2.70 / $3.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $3.22 / $3.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $1.82 / $2.29
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.22 / $3.78