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Kansas rates for HCPCS A4376

Ostomy Pouch Drainable With Faceplate Attached Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.39 / $73.39 / $73.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $35.43 / $73.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.70 / $11.69 / $12.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.59 / $12.75 / $12.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.94 / $39.94 / $39.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.95 / $39.94 / $96.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $57.45 / $312.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $33.17 / $84.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $29.95 / $44.72