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Indiana rates for HCPCS A5093

Ostomy accessory; convex insert

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $2.09 / $2.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.26 / $2.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.32 / $2.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $3.39 / $4.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $1.62 / $1.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.38 / $3.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $1.07 / $1.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $1.23 / $1.74