go back

Alabama rates for HCPCS A4413

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), with filter, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.59 / $5.59 / $5.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.62 / $5.59 / $6.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.62 / $4.62 / $5.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $5.73 / $5.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.62 / $4.62 / $5.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $4.62 / $7.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $3.26 / $5.20