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Indiana rates for HCPCS A4394

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fl oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.11 / $3.11 / $3.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $2.24 / $3.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.81 / $1.81 / $3.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $2.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.08 / $3.98 / $5.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.62 / $4.34 / $5.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.18 / $3.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.81 / $2.58