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Alabama rates for HCPCS A4428

Ostomy Pouch Urinary With Extended Wear Barrier Attached With Faucet-Type Tap With Valve (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.62 / $6.62 / $6.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.47 / $6.62 / $7.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.78 / $6.78 / $6.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.47 / $5.47 / $5.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.65 / $5.47 / $8.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $3.86 / $6.10