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California rates for HCPCS A4367

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $3.01 / $28.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $4.16 / $27.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.28 / $10.28 / $10.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.44 / $4.15 / $10.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.96 / $9.56
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.28 / $13.35 / $20.63
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.27 / $20.94 / $36.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.53 / $6.18 / $8.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $6.65
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.30 / $9.75 / $11.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.85 / $6.83 / $15.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.70 / $50.70 / $71.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $8.55 / $10.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $6.18 / $9.41
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $18.39 / $18.39
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.80 / $9.23 / $11.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.03 / $4.63 / $13.05