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Kentucky 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
$2.39 / $4.13 / $4.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $4.90 / $6.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.76 / $3.99 / $6.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.04 / $11.27 / $13.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.06 / $13.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $9.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.84 / $38.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.10 / $5.01 / $10.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.66 / $3.79 / $5.70