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Kansas 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
$2.66 / $2.66 / $2.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $1.28 / $2.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.84 / $3.08 / $3.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $2.93 / $2.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $3.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $2.09 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $1.21 / $3.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $1.13 / $1.63