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Missouri rates for HCPCS A4424

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.85 / $4.63 / $6.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $3.73 / $7.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $7.91 / $7.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $3.33 / $5.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $3.40 / $4.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $5.99 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.33 / $3.32 / $5.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.33 / $3.32 / $4.99