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Indiana rates for HCPCS A4407

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 in or smaller, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.49 / $10.49 / $12.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $7.34 / $10.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.24 / $12.24 / $12.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.13 / $6.13 / $11.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.13 / $6.13 / $8.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.40 / $13.46 / $18.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.24 / $14.69 / $17.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.35 / $7.35 / $7.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.25 / $7.35 / $12.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.12 / $4.76 / $7.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.46 / $5.83 / $8.00