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Indiana rates for HCPCS A4373

Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.50 / $7.50 / $8.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.83 / $5.56 / $7.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.40 / $4.40 / $8.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $6.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.57 / $9.64 / $13.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $9.64 / $11.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.26 / $5.26 / $5.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $5.26 / $8.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $4.18 / $6.28