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Kansas rates for HCPCS A4422

Ostomy Absorbent Material (Sheet/Pad/Crystal Packet) For Use In Ostomy Pouch To Thicken Liquid Stomal Output Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.17 / $0.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.08 / $0.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.13 / $0.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.14 / $0.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.09 / $0.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.14 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.08 / $0.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.08 / $0.11