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Kentucky rates for HCPCS A4376

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.00 / $34.17 / $39.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.00 / $40.49 / $56.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.31 / $33.31 / $35.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.86 / $93.07 / $109.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.16 / $79.78 / $109.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.94 / $39.94 / $77.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.95 / $39.94 / $321.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.01 / $47.58 / $86.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.24 / $29.98 / $42.47