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Missouri rates for HCPCS A4427

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $2.71 / $3.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $2.19 / $4.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $3.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $2.34 / $2.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $1.99 / $2.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.81 / $3.51 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $1.94 / $3.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.94 / $2.78