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Indiana rates for HCPCS A4430

Ostomy pouch, urinary, with extended wear 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
$10.19 / $10.19 / $11.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.56 / $7.55 / $10.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.96 / $5.96 / $11.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.96 / $5.96 / $8.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.93 / $13.09 / $17.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $13.09 / $16.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.15 / $7.15 / $7.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $7.15 / $12.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $5.69 / $8.52