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Missouri rates for HCPCS A4413

Ostomy Pouch Drainable High Output For Use On A Barrier With Flange (2 Piece System) With Filter Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.30 / $5.36 / $7.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $4.32 / $8.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.85 / $3.85 / $7.23
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 / $3.93 / $5.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.58 / $6.74 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.70 / $3.84 / $6.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $3.83 / $5.50