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Missouri rates for HCPCS A4433

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $3.26 / $4.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.63 / $5.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.34 / $4.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $2.81 / $2.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.39 / $3.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.17 / $4.22 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $2.33 / $3.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $2.33 / $3.34