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Kansas 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
$13.14 / $13.14 / $13.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $6.34 / $13.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.72 / $10.26 / $11.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.63 / $10.63 / $10.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.15 / $7.15 / $7.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $7.15 / $17.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $10.26 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $5.93 / $15.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $5.33 / $8.00