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Kansas rates for HCPCS A4425

Ostomy pouch, drainable; for use on barrier with nonlocking flange, with filter (two-piece system), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.75 / $3.75 / $5.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $2.67 / $5.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.50 / $3.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.01 / $6.28 / $6.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.97 / $5.97 / $5.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.01 / $3.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $2.56 / $7.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $4.32 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $2.50 / $6.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $2.25 / $3.20