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Kansas rates for HCPCS A4391

Ostomy pouch, urinary, with extended wear barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.90 / $10.90 / $10.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.70 / $5.26 / $10.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.91 / $8.64 / $9.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.57 / $8.57 / $8.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.93 / $5.93 / $5.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $5.93 / $14.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.70 / $8.52 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.79 / $4.93 / $12.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.79 / $4.55 / $6.65