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Kansas 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
$69.90 / $69.90 / $69.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.69 / $33.75 / $69.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.24 / $62.45 / $66.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.37 / $61.98 / $61.99
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 / $98.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.69 / $54.73 / $305.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.30 / $31.58 / $80.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.30 / $30.18 / $45.32