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Washington, DC 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
$6.95 / $6.95 / $6.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.95 / $6.95 / $6.95
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.95 / $6.95 / $7.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.41 / $20.41 / $20.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.42 / $5.13 / $10.17