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Missouri rates for HCPCS A4416

Ostomy pouch, closed, with barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $2.68 / $3.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $2.16 / $4.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $1.93 / $3.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.31 / $2.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $1.96 / $2.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.79 / $3.47 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.92 / $3.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.92 / $2.75