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California rates for HCPCS A4361

Ostomy Faceplate Each (Special Coverage Instructions Apply. See Mcm: 2130a)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.88 / $7.53 / $74.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.53 / $11.57 / $74.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.22 / $28.22 / $28.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.86 / $9.47 / $25.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.93 / $10.93 / $23.85
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.03 / $35.11 / $54.26
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.87 / $55.08 / $96.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.70 / $15.42 / $32.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.11 / $13.11 / $17.82
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.52 / $25.65 / $30.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.39 / $17.96 / $39.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $121.84 / $121.84
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.74 / $169.70 / $169.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.02 / $22.69 / $26.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.11 / $15.42 / $24.42
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.44 / $48.44 / $48.44
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.52 / $30.04 / $39.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $10.88 / $24.36