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Missouri rates for HCPCS A4430

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.09 / $8.30 / $11.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $6.68 / $13.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.96 / $5.96 / $9.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.15 / $7.15 / $7.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $6.08 / $7.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.53 / $10.71 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $5.93 / $9.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.96 / $5.93 / $8.52