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California rates for HCPCS A4372

Ostomy Skin Barrier Solid 4x4 Or Equivalent Standard Wear With Built-Inconvexity Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $2.56 / $4.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.11 / $2.54 / $6.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $2.93 / $5.46
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $8.01 / $12.38
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.17 / $12.57 / $22.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.34 / $3.77 / $4.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $3.20 / $3.77
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.70 / $5.87 / $7.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.52 / $4.11 / $9.10
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.23 / $29.23 / $44.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.03 / $12.03 / $12.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.60 / $5.18 / $5.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $3.20 / $4.99
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $11.05 / $11.05
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.70 / $4.70 / $4.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.23 / $2.48 / $5.75