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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
$7.94 / $12.33 / $14.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $14.62 / $20.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.03 / $12.03 / $12.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.98 / $33.59 / $39.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.79 / $28.79 / $39.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.93 / $15.93 / $28.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.78 / $13.54 / $42.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.08 / $17.18 / $31.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.84 / $11.39 / $15.33