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Indiana rates for HCPCS A4429

Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.86 / $9.86 / $11.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $7.32 / $9.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.78 / $5.78 / $11.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $5.78 / $7.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.65 / $12.68 / $17.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.80 / $12.68 / $15.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.54 / $7.54 / $7.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.41 / $6.41 / $11.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $5.65 / $8.25