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Kentucky 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
$2.81 / $4.30 / $4.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $5.09 / $7.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $4.20 / $4.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.45 / $11.73 / $13.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.96 / $10.06 / $13.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.03 / $5.03 / $9.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $5.18 / $40.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $6.41 / $10.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.74 / $3.86 / $5.36