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Indiana rates for HCPCS A4399

Ostomy irrigation supply; cone/catheter, with or without brush

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.69 / $14.69 / $17.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.03 / $9.63 / $14.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.82 / $7.82 / $15.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.29 / $7.82 / $10.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.64 / $18.00 / $25.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $18.85 / $23.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.29 / $10.29 / $12.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $10.29 / $16.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $8.16 / $11.53