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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
$4.28 / $4.28 / $4.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.51 / $7.51 / $7.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.19 / $6.19 / $10.40
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $9.90 / $9.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.62 / $9.44 / $13.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.34 / $7.51 / $10.40
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.69 / $7.61 / $9.00