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Indiana rates for HCPCS A4361

Ostomy faceplate, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.98 / $21.98 / $25.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.16 / $16.28 / $21.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.93 / $10.93 / $21.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.93 / $10.93 / $15.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.91 / $26.93 / $38.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.80 / $28.22 / $34.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.42 / $15.42 / $15.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.11 / $15.42 / $23.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.26 / $12.23 / $17.26