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Kentucky 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
$6.12 / $7.02 / $7.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.55 / $7.29 / $10.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.96 / $5.96 / $6.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $16.66 / $19.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.31 / $14.28 / $19.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.15 / $7.15 / $13.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $7.36 / $57.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.98 / $8.52 / $15.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $5.60 / $7.61