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Indiana rates for HCPCS A4423

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.22 / $2.22 / $2.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $1.64 / $2.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $1.30 / $2.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.94 / $2.85 / $3.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.85 / $3.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $1.56 / $1.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.56 / $2.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $1.24 / $1.72