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Indiana rates for HCPCS A4414

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $5.89 / $6.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $4.25 / $5.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.45 / $3.45 / $6.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $4.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.84 / $7.56 / $10.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $8.24 / $9.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $4.13 / $4.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $4.13 / $7.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $3.28 / $4.82