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Washington rates for HCPCS A4368

Ostomy filter, any type, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.51 / $1.51
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 / $0.26
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.56 / $0.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.62 / $0.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.34 / $0.39
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.31
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.30 / $0.56
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.31 / $0.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.14 / $0.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.16 / $0.28
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.31 / $0.54