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Kentucky 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
$3.40 / $5.29 / $6.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.89 / $6.07 / $7.64
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.94 / $9.94 / $9.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $5.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.71 / $13.88 / $16.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.28 / $12.85 / $20.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.18 / $6.18 / $12.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $6.37 / $47.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.02 / $7.35 / $13.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.42 / $4.84 / $7.27