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Indiana rates for HCPCS A4372

Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.02 / $5.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $2.95 / $5.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $6.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $7.41 / $8.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.80 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $3.24 / $4.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $2.29 / $3.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $2.82 / $4.17