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Mississippi 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
$6.40 / $6.40 / $6.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.96 / $6.40 / $6.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.26 / $6.26 / $6.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.96 / $5.96 / $5.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.53 / $4.62 / $5.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $3.93 / $5.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $3.58 / $6.50