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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
$6.61 / $6.61 / $6.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $3.19 / $6.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.42 / $9.92 / $10.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.53 / $7.53 / $7.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $3.60 / $3.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.60 / $8.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $5.18 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $2.99 / $7.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $2.70 / $4.23