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Indiana rates for HCPCS A4384

Ostomy Faceplate Equivalent Silicone Ring Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.50 / $11.50 / $13.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $8.52 / $11.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.73 / $6.73 / $12.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $9.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.07 / $14.76 / $20.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.41 / $14.76 / $18.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $8.07 / $8.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $8.07 / $13.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.38 / $5.22 / $8.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $6.33 / $8.77