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Kansas 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
$4.21 / $4.21 / $4.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $2.02 / $4.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.18 / $5.45 / $5.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.92 / $4.92 / $4.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.29 / $5.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $3.29 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.08 / $1.90 / $4.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.08 / $1.71 / $2.44