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Kansas rates for HCPCS A4387

Ostomy pouch, closed, with barrier attached, with built-in convexity (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $3.47 / $3.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $1.87 / $3.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.21 / $3.42 / $3.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.48 / $3.48 / $3.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $1.89 / $1.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.89 / $4.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $3.23 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $1.57 / $5.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.57 / $3.37