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Washington 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
$3.98 / $3.98 / $11.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $5.01 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $5.62
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $10.23 / $18.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $11.22 / $18.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.76 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $8.51 / $8.71
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $8.71 / $8.71
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.59 / $14.13
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $9.55
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.59 / $9.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $3.39 / $4.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.72 / $7.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $7.59 / $13.49