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Washington rates for HCPCS A4330

Perianal fecal collection pouch with adhesive, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.67 / $12.87 / $13.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $5.67 / $13.13
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.77 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.31 / $8.77 / $71.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.11 / $5.11 / $5.11
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.06 / $13.35 / $20.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.06 / $13.37 / $20.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.89 / $8.42 / $10.01
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.69 / $9.01 / $9.78
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.46 / $9.68 / $10.01
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.31 / $8.77 / $16.22
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.31 / $9.77 / $11.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.08 / $8.51 / $10.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.03 / $5.11 / $8.10
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.15 / $4.15 / $8.51