go back

Kansas rates for HCPCS A4399

Ostomy Irrigation Supply; Cone/Catheter With Or Without Brush Cm: 2130a)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.09 / $16.09 / $16.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.69 / $7.77 / $16.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.70 / $16.04 / $17.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.92 / $15.92 / $15.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.29 / $10.29 / $10.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $10.29 / $24.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.69 / $12.58 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $7.27 / $18.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $7.27 / $10.42