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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
$12.02 / $12.02 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $7.08 / $10.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $9.55 / $10.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $6.92 / $6.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $5.89 / $13.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $8.13 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $5.62 / $56.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $5.13 / $11.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $5.37 / $8.13