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Missouri rates for HCPCS A4435

Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.45 / $5.63 / $8.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $4.51 / $8.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.99 / $4.16 / $6.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $4.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.12 / $5.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $7.32 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $4.01 / $6.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.68 / $4.01 / $6.26