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Kentucky rates for HCPCS A4375

Ostomy pouch, drainable, with faceplate attached, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.02 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $14.13 / $20.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $32.36 / $41.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $30.20 / $38.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $38.90 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $15.85 / $114.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $17.78 / $33.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $9.33 / $10.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $11.22 / $15.49