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Kentucky 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
$3.11 / $4.68 / $5.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $5.55 / $7.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.55 / $4.55 / $4.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.25 / $12.75 / $15.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.11 / $10.93 / $15.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.47 / $5.47 / $10.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.65 / $5.63 / $44.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.33 / $6.51 / $11.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.97 / $4.19 / $5.81