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Kentucky rates for HCPCS A4388

Ostomy Pouch Drainable With Extended Wear Barrier Attached (1 Piece) Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $3.13 / $3.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.71 / $5.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $3.05 / $3.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.26 / $8.52 / $10.05
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.79 / $7.31 / $10.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $3.66 / $7.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.66 / $29.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $4.36 / $7.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.37 / $2.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.98 / $3.89