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Indiana rates for HCPCS A4400

Ostomy Irrigation Set (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.66 / $51.66 / $60.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.29 / $43.34 / $51.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.08 / $29.08 / $56.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.08 / $29.08 / $40.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.80 / $66.33 / $90.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.26 / $69.34 / $81.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.02 / $41.02 / $41.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.86 / $34.86 / $61.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.30 / $29.46 / $43.57