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Indiana rates for HCPCS A4398

Ostomy irrigation supply; bag, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.54 / $16.54 / $19.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.37 / $12.26 / $16.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.67 / $9.67 / $18.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.67 / $9.67 / $13.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.48 / $21.24 / $28.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.41 / $21.24 / $26.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.60 / $11.60 / $14.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $11.60 / $19.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $9.19 / $12.99