go back

Indiana rates for HCPCS A4432

Ostomy pouch, urinary; for use on barrier with nonlocking flange, with faucet-type tap with valve (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $4.29 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $3.10 / $4.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $2.50 / $4.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.50 / $3.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.76 / $5.51 / $7.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $5.51 / $6.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.01 / $3.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $3.01 / $5.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $2.36 / $3.54