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Washington rates for HCPCS A4361

Ostomy faceplate, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.54 / $33.01 / $34.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.71 / $14.54 / $34.83
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.47 / $116.25 / $116.25
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.14 / $22.47 / $165.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.42 / $15.42 / $15.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.11 / $13.11 / $19.05
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.22 / $27.17 / $46.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.22 / $28.51 / $46.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.71 / $19.68 / $21.64
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.10 / $25.05 / $25.65
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.43 / $25.65 / $25.65
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.29 / $22.47 / $41.53
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.29 / $24.30 / $36.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.39 / $21.80 / $28.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.06 / $10.88 / $20.76
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.93 / $18.80 / $18.80