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Kansas 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
$4.25 / $4.25 / $4.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $2.04 / $4.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $3.66 / $4.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.79 / $3.79 / $3.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.31 / $2.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $2.31 / $5.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $3.32 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.92 / $4.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.72 / $2.59