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Kansas 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
$2.87 / $2.87 / $2.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $1.38 / $2.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.84 / $3.11 / $3.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.08 / $3.08 / $3.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $1.56 / $1.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.56 / $3.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $2.24 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $1.30 / $3.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $1.10 / $1.66