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Kentucky rates for HCPCS A4398

Ostomy Irrigation Supply; Bag Each (Special Coverage Instructions Apply. See Mcm: 2130a)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.39 / $9.02 / $10.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.39 / $10.65 / $16.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.78 / $9.67 / $10.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $25.48 / $31.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.41 / $22.21 / $28.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.60 / $11.60 / $21.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $11.60 / $91.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.29 / $12.56 / $22.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $8.69 / $11.58