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Kansas rates for HCPCS A4412

Ostomy Pouch Drainable High Output For Use On A Barrier With Flange (2 Piece System) Without Filter Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.18 / $4.18 / $4.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $2.02 / $4.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.63 / $4.87 / $5.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $4.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $2.27 / $5.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $3.26 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.88 / $4.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.70 / $2.54