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Indiana rates for HCPCS A4425

Ostomy Pouch Drainable; For Use On Barrier With Non-Locking Flange With Filter (2 Piece System) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.28 / $4.28 / $5.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $3.09 / $4.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $2.50 / $4.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.50 / $3.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.25 / $5.50 / $7.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $6.00 / $7.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.01 / $3.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $2.56 / $5.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $2.42 / $3.54