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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
$2.35 / $2.57 / $25.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $3.95 / $25.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.17 / $3.81 / $10.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $8.15
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.23 / $12.00 / $18.53
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.73 / $18.78 / $32.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.26 / $7.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $5.99
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.01 / $8.76 / $10.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.26 / $6.13 / $13.58
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.62 / $43.62 / $65.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.95 / $17.95 / $17.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $7.75 / $8.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $5.26 / $8.33
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $16.52 / $16.52
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.01 / $10.25 / $13.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $3.71 / $8.60