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Indiana rates for HCPCS A4396

Ostomy belt with peristomal hernia support

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.45 / $48.45 / $56.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.07 / $35.90 / $48.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.34 / $28.34 / $54.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.34 / $28.34 / $39.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.42 / $62.22 / $84.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.08 / $62.22 / $76.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.97 / $33.97 / $35.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.88 / $33.97 / $58.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.99 / $26.96 / $38.04