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Indiana rates for HCPCS A4385

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.09 / $6.09 / $7.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $4.26 / $6.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.25 / $4.25 / $7.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.57 / $3.57 / $6.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.57 / $4.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.05 / $7.83 / $10.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.12 / $8.53 / $9.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.28 / $4.28 / $4.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $4.28 / $7.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.40 / $4.79