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Kansas rates for HCPCS A4379

Ostomy pouch, urinary, with faceplate attached, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.17 / $23.17 / $23.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $11.18 / $23.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.80 / $12.88 / $13.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.78 / $12.78 / $12.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $13.91 / $13.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $13.91 / $24.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $18.14 / $98.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.93 / $10.47 / $26.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.70 / $9.88 / $13.40