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Indiana rates for HCPCS A4408

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.82 / $11.82 / $13.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.61 / $8.76 / $11.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.91 / $6.91 / $13.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.91 / $6.91 / $9.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.34 / $15.01 / $20.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.72 / $15.17 / $18.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.28 / $8.28 / $8.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.05 / $8.28 / $14.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $6.57 / $9.01