go back

Indiana rates for HCPCS A4433

Ostomy pouch, urinary; for use on barrier with locking flange (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.58 / $2.98 / $4.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $2.34 / $4.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.34 / $3.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.52 / $5.16 / $7.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.99 / $5.16 / $6.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $2.81 / $2.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.81 / $4.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $2.20 / $3.09