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Kentucky rates for HCPCS A4383

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.04 / $20.23 / $23.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.04 / $23.99 / $33.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.73 / $19.73 / $21.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.54 / $55.13 / $64.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.40 / $47.26 / $64.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.07 / $26.07 / $46.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $22.16 / $69.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.11 / $28.19 / $51.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.87 / $18.17 / $25.16