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Kentucky 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
$1.19 / $1.86 / $2.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $2.14 / $3.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.49 / $3.49 / $3.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $1.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.62 / $4.34 / $5.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.62 / $4.53 / $5.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.18 / $4.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.25 / $17.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.11 / $2.58 / $4.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.79 / $2.56