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Indiana rates for HCPCS A4426

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.27 / $3.27 / $3.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.42 / $3.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $1.91 / $3.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $1.91 / $2.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $4.19 / $5.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $4.19 / $5.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.29 / $3.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.08 / $1.82 / $2.73