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Indiana rates for HCPCS A4431

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.43 / $7.43 / $8.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $5.51 / $7.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.34 / $4.34 / $8.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $4.34 / $6.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.50 / $9.53 / $13.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.37 / $9.53 / $11.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.59 / $5.59 / $5.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $5.59 / $8.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $4.13 / $6.22