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Indiana rates for HCPCS A4389

Ostomy Pouch Drainable With Barrier Attached With Built-In Convexity (1 Piece) Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.43 / $7.43 / $8.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $5.37 / $7.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.34 / $4.34 / $8.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $4.34 / $6.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.50 / $9.53 / $13.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.37 / $9.53 / $11.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.22 / $5.22 / $5.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $5.22 / $8.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $4.13 / $6.14