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Kansas rates for HCPCS A4377

Ostomy pouch, drainable, for use on faceplate, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.02 / $5.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $10.00 / $10.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $3.63 / $3.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.09 / $7.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $4.27 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $2.95 / $29.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $2.69 / $6.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.82 / $4.27