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Indiana rates for HCPCS A4427

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.34 / $3.34 / $3.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $2.41 / $3.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $1.95 / $3.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $2.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.93 / $4.29 / $5.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $4.29 / $5.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $2.34 / $2.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $2.34 / $3.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.86 / $2.57