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Kentucky rates for HCPCS A4377

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.98 / $3.08 / $3.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.98 / $3.65 / $5.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.49 / $8.39 / $9.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.69 / $7.19 / $9.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $3.60 / $7.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.60 / $28.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $4.29 / $7.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $2.77 / $3.83