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Kansas rates for HCPCS A4404

Ostomy Ring Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.59 / $2.59 / $2.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $1.25 / $2.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.69 / $9.15 / $9.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.82 / $7.82 / $7.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.41 / $3.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $2.02 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $1.17 / $3.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $1.06 / $1.58