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Indiana rates for HCPCS A4411

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.98 / $6.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $3.55 / $6.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.72 / $6.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $8.91 / $10.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $4.27 / $4.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $3.63 / $5.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.75 / $4.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.39 / $5.13