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Kansas rates for HCPCS A4415

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.25 / $9.25 / $9.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $4.46 / $9.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.92 / $8.65 / $9.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.58 / $8.58 / $8.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.03 / $5.03 / $5.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $5.03 / $12.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $7.25 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $4.18 / $10.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $3.75 / $5.63