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Mississippi rates for HCPCS A4428

Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.58 / $7.58 / $7.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.69 / $7.58 / $7.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.40 / $7.40 / $8.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.05 / $7.05 / $7.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.47 / $5.47 / $6.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.65 / $4.65 / $6.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $4.23 / $7.69