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Indiana rates for HCPCS A4378

Ostomy Pouch Drainable For Use On Faceplate Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.79 / $36.79 / $42.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.70 / $27.27 / $36.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.53 / $21.53 / $41.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.53 / $29.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.22 / $47.26 / $64.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.52 / $47.26 / $58.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.81 / $25.81 / $25.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $25.81 / $44.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.14 / $20.47 / $30.36