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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
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.02 / $5.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $8.13 / $10.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.41 / $9.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $9.55 / $9.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $5.25 / $28.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $4.47 / $8.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.34 / $2.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.82 / $3.80