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Kentucky rates for HCPCS A4412

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), without filter, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.94 / $2.23 / $2.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $2.31 / $3.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $1.89 / $2.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.84 / $5.29 / $6.24
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.78 / $4.54 / $6.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $8.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $2.34 / $18.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.70 / $4.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.79 / $2.49