go back

Kansas rates for HCPCS A4378

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $25.70 / $41.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.47 / $11.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $25.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $50.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $30.90 / $199.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $21.38 / $213.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $19.05 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $20.42 / $30.90