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Hawaii 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
Professional
Modifier
Low / Median / High Price
$3.02 / $3.98 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $5.25 / $7.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $8.51 / $11.75
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $9.55 / $10.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $9.55 / $10.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $3.39 / $3.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $6.76 / $10.47