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Kentucky 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
$4.24 / $6.49 / $7.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $7.45 / $10.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.33 / $6.33 / $6.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.21 / $17.68 / $20.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $15.16 / $20.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $14.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $7.82 / $61.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $9.03 / $16.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $6.00 / $8.07