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Washington, DC rates for HCPCS A4375

Ostomy Pouch Drainable With Faceplate Attached Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.23 / $16.23 / $16.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.78 / $9.78 / $13.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.63 / $47.63 / $47.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $11.97 / $16.96