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Missouri rates for HCPCS A4423

Ostomy pouch, closed; for use on barrier with locking flange, with filter (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.11 / $1.82 / $2.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.46 / $2.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $2.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $1.56 / $1.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $2.33 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.30 / $2.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $1.30 / $1.92