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Hawaii rates for HCPCS A4367

Ostomy belt, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.34 / $8.34 / $8.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.06 / $7.06 / $11.56
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.51 / $11.01 / $11.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.36 / $10.51 / $14.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.02 / $10.40 / $11.56
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.17 / $8.75 / $10.00