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Kansas rates for HCPCS A4394

Ostomy Deodorant With Or Without Lubricant For Use In Ostomy Pouch Per Fluid Ounce

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $1.93 / $4.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $2.17 / $2.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $2.86 / $2.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.18 / $5.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $3.12 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.81 / $4.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.81 / $2.58