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Indiana rates for HCPCS A4416

Ostomy pouch, closed, with barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.29 / $3.29 / $3.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.98 / $2.44 / $3.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.93 / $1.93 / $3.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $1.93 / $2.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.89 / $4.24 / $5.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.27 / $4.24 / $5.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.31 / $2.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $2.31 / $3.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.84 / $2.75