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California rates for HCPCS A4330

Perianal Fecal Collection Pouch With Adhesive Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.68 / $2.93 / $27.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.68 / $4.51 / $27.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.03 / $3.61 / $6.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.15 / $4.15 / $9.19
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.14 / $14.23 / $20.41
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.21 / $24.35 / $36.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.11 / $5.11 / $5.11
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.64 / $10.60 / $13.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $12.05 / $22.17
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.07 / $80.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.85 / $49.85 / $71.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.91 / $9.64 / $13.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.11 / $5.11 / $10.55
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.18 / $18.18 / $18.18
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.71 / $7.71 / $8.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.92 / $4.51 / $12.49