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Indiana rates for HCPCS A4435

Ostomy Pouch Drainable High Output With Extended Wear Barrier(One-Piece System) With Or Without Filter Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.89 / $6.89 / $8.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $5.11 / $6.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.16 / $4.16 / $8.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.76 / $4.16 / $6.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.04 / $8.86 / $12.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.84 / $8.86 / $10.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $4.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.84 / $8.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $3.85 / $5.64