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Indiana rates for HCPCS A4379

Ostomy Pouch Urinary With Faceplate Attached Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.97 / $17.97 / $20.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.57 / $13.32 / $17.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.51 / $10.51 / $20.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.51 / $10.51 / $14.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.74 / $23.08 / $31.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.82 / $23.08 / $28.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $13.91 / $14.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $11.82 / $17.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.93 / $10.00 / $13.88