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Kansas rates for HCPCS A4375

Ostomy Pouch Drainable With Faceplate Attached Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.49 / $26.49 / $26.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.57 / $12.79 / $26.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.01 / $10.54 / $11.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.62 / $11.62 / $11.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.93 / $15.93 / $15.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.78 / $13.54 / $27.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.57 / $20.75 / $112.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.78 / $11.97 / $30.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.78 / $10.81 / $16.14