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Kentucky 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
$1.00 / $1.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $1.91 / $2.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $5.13 / $6.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $4.79 / $6.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $6.17 / $6.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $3.09 / $18.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.82 / $5.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.48 / $1.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.78 / $2.45