go back

Missouri rates for HCPCS A4426

Ostomy pouch, drainable; for use on barrier with locking flange (two-piece system), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.63 / $2.66 / $3.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $2.14 / $4.21
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $1.91 / $1.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $1.91 / $3.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $2.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $3.43 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.34 / $1.90 / $3.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.88 / $2.73