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Kentucky 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
$1.71 / $2.57 / $2.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $2.95 / $4.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $4.84 / $4.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $6.00 / $8.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $6.25 / $8.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.01 / $5.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $2.78 / $24.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $3.58 / $6.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $2.36 / $3.20