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Indiana rates for HCPCS A4380

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.69 / $44.69 / $52.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.78 / $33.11 / $44.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.13 / $26.13 / $50.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.13 / $26.13 / $36.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.11 / $57.38 / $78.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.34 / $57.38 / $70.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.45 / $34.45 / $35.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.28 / $29.28 / $43.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.74 / $24.86 / $34.50