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Kentucky 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
$1.00 / $1.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $2.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $5.25 / $6.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $4.79 / $6.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $6.17 / $6.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $3.16 / $18.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.88 / $5.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.51 / $1.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.78 / $2.45