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Kentucky 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
$3.27 / $5.08 / $5.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.27 / $6.02 / $8.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.95 / $4.95 / $5.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.40 / $13.82 / $16.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.38 / $11.84 / $16.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.93 / $5.93 / $11.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $5.99 / $47.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.79 / $7.07 / $12.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.28 / $4.45 / $6.51