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Kansas rates for HCPCS A4389

Ostomy pouch, drainable, with barrier attached, with built-in convexity (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.58 / $9.58 / $9.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $4.63 / $9.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.06 / $7.70 / $8.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.64 / $7.64 / $7.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.22 / $5.22 / $5.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $5.22 / $12.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $7.51 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $4.33 / $11.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $3.91 / $5.84