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Indiana rates for HCPCS A4383

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.74 / $33.74 / $39.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.73 / $25.00 / $33.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.73 / $19.73 / $38.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.73 / $19.73 / $27.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.54 / $43.32 / $59.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.47 / $43.32 / $53.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.07 / $26.07 / $26.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $22.16 / $32.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.14 / $18.77 / $27.84