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Mississippi 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
$6.96 / $6.96 / $7.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $6.96 / $7.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.81 / $6.81 / $7.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $6.49 / $6.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.54 / $5.03 / $5.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.28 / $5.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $3.90 / $7.09