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Missouri rates for HCPCS A4415

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $5.84 / $8.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $4.70 / $9.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $4.20 / $6.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.03 / $5.03 / $5.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.28 / $5.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $7.54 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $4.18 / $7.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $4.18 / $6.00