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Kansas rates for HCPCS A4428

Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.06 / $10.06 / $10.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.49 / $4.86 / $10.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.96 / $10.88 / $11.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.79 / $10.79 / $10.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.47 / $5.47 / $5.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.65 / $5.47 / $13.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.49 / $7.85 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $4.54 / $11.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $4.09 / $6.12