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Kansas 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
$8.89 / $8.89 / $8.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $4.29 / $8.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.87 / $8.59 / $9.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.52 / $8.52 / $8.52
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 / $11.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $6.95 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $4.01 / $10.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $3.76 / $5.42