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Kentucky 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
$2.88 / $4.46 / $5.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.64 / $5.12 / $7.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $4.34 / $4.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.50 / $12.14 / $14.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.24 / $10.40 / $14.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.22 / $5.22 / $10.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $5.22 / $41.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.10 / $6.22 / $11.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.89 / $4.24 / $5.73