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Kentucky 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
$1.33 / $1.53 / $1.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.58 / $2.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.94 / $3.63 / $4.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $3.11 / $4.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $1.56 / $3.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.61 / $12.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.86 / $3.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $1.17 / $1.66