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Indiana rates for HCPCS A4413

Ostomy Pouch Drainable High Output For Use On A Barrier With Flange (2 Piece System) With Filter Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.60 / $6.60 / $7.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $4.76 / $6.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.70 / $7.70 / $7.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.85 / $3.85 / $7.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.85 / $3.85 / $5.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.78 / $8.47 / $11.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.55 / $8.47 / $10.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.62 / $4.62 / $5.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $4.62 / $7.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $3.65 / $5.39