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Kentucky 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
$1.61 / $1.85 / $1.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.91 / $2.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $4.20 / $4.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.36 / $4.40 / $5.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $3.93 / $5.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $1.89 / $4.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.89 / $15.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.07 / $2.52 / $4.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.96 / $3.37