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Indiana rates for HCPCS A4434

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.50 / $4.50 / $5.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $3.33 / $4.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $2.63 / $5.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.63 / $3.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.94 / $5.78 / $7.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $5.78 / $7.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $3.51 / $3.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $3.51 / $5.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.50 / $3.50