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Indiana rates for HCPCS A4419

Ostomy pouch, closed; for use on barrier with nonlocking flange, with filter (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.53 / $2.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $1.22 / $2.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.81 / $2.65 / $3.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.65 / $3.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $2.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $1.13 / $1.61