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Indiana rates for HCPCS A4410

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 in, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.82 / $10.82 / $12.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $7.81 / $10.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.33 / $6.33 / $12.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.33 / $6.33 / $8.73
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.47 / $13.89 / $18.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.74 / $13.89 / $17.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $8.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $7.59 / $12.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $6.02 / $8.35