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Kansas rates for HCPCS A4392

Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.61 / $12.61 / $12.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $6.09 / $12.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.00 / $9.47 / $10.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.94 / $9.94 / $9.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $6.86 / $6.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $6.86 / $16.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $9.85 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $5.69 / $14.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $5.38 / $7.68