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Mississippi rates for HCPCS A4421

Ostomy Supply; Miscellaneous (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.65 / $34.65 / $38.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.00 / $33.00 / $33.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.19 / $22.55 / $22.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.17 / $19.17 / $22.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $20.00 / $25.00