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Indiana rates for HCPCS A4367

Ostomy Belt Each (Special Coverage Instructions Apply. See Mcm: 2130a)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.81 / $8.81 / $10.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $6.16 / $8.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.28 / $10.28 / $10.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $4.79 / $9.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $6.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.71 / $10.79 / $15.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.74 / $11.31 / $14.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.18 / $6.18 / $6.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $6.18 / $10.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.91 / $4.93 / $7.35