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Kansas 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
$6.73 / $6.73 / $6.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $3.25 / $6.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.99 / $5.27 / $5.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.45 / $5.45 / $5.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $3.66 / $3.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.66 / $8.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $5.27 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $3.04 / $7.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.88 / $4.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $2.91 / $3.89