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Indiana rates for HCPCS A4381

Ostomy pouch, urinary, for use on faceplate, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.54 / $5.54 / $6.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $4.09 / $5.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.23 / $3.23 / $6.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.23 / $4.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $7.11 / $9.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.49 / $7.11 / $8.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.88 / $3.88 / $3.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.88 / $6.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $3.09 / $4.34