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Kentucky 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
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.74 / $2.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $3.24 / $4.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $3.02 / $3.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $3.89 / $3.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $2.40 / $11.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.82 / $3.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $0.93 / $1.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $1.12 / $1.55