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Kansas rates for HCPCS A4393

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.94 / $13.94 / $13.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.46 / $6.73 / $13.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.94 / $13.02 / $13.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.93 / $12.93 / $12.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $7.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $7.59 / $18.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.46 / $10.91 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $6.30 / $16.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $5.65 / $8.50