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California rates for HCPCS A4368

Ostomy filter, any type, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.51 / $1.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.18 / $0.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.19 / $0.44
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.52 / $0.78
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.65 / $1.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.22
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.37 / $0.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.35 / $0.63
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.63 / $3.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $32.36 / $33.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.35 / $0.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.34
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.65
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.45 / $0.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.14 / $0.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.16 / $0.35