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California rates for HCPCS A4373

Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $5.01 / $33.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $4.17 / $10.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.68 / $9.55
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $12.59 / $18.62
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $16.60 / $31.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.25 / $6.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $5.25
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $9.12 / $12.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $8.13 / $15.49
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
$43.65 / $66.07 / $66.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $8.71 / $8.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $8.32 / $11.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $8.51
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $16.60 / $16.60
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $11.22 / $17.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $3.39 / $4.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.98 / $8.91