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Indiana rates for HCPCS A4424

Ostomy Pouch Drainable With Barrier Attached With Filter (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.70 / $5.70 / $6.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.42 / $4.22 / $5.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.33 / $3.33 / $6.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $3.33 / $4.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.99 / $7.32 / $9.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.65 / $7.32 / $8.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $4.00 / $6.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $3.32 / $4.75