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Kansas rates for HCPCS A4417

Ostomy Pouch Closed With Barrier Attached With Built-In Convexity With Filter (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $5.75 / $5.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $2.78 / $5.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.04 / $4.25 / $4.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.46 / $4.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.66 / $3.13 / $7.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.42 / $4.48 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $2.60 / $6.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $2.44 / $3.72