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Indiana rates for HCPCS A4388

Ostomy pouch, drainable, with extended wear barrier attached, (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.22 / $5.22 / $6.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $3.87 / $5.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.05 / $3.05 / $5.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $3.05 / $4.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $6.70 / $9.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.18 / $6.70 / $8.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $3.66 / $3.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.66 / $6.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.37 / $3.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $2.95 / $4.30