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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
$1.12 / $1.96 / $2.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $2.31 / $3.27
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
$2.86 / $5.33 / $6.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.81 / $4.57 / $6.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $4.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.36 / $18.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.23 / $2.73 / $4.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.88 / $2.50