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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 (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.96 / $11.26 / $11.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.77 / $4.96 / $11.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $6.13 / $8.76
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.66 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.22 / $7.73 / $43.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.26 / $5.26 / $5.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $6.19
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $8.78 / $14.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.27 / $9.01 / $16.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.04 / $6.72 / $7.39
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.86 / $8.55 / $8.76
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.66 / $8.76 / $9.64
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.27 / $7.66 / $14.18
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.27 / $8.28 / $12.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.96 / $7.45 / $9.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.71 / $7.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $5.14 / $5.14