go back

Washington, DC rates for HCPCS A4376

Ostomy Pouch Drainable With Faceplate Attached Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.92 / $44.92 / $44.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.92 / $44.92 / $44.92
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.96 / $44.96 / $45.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.95 / $33.95 / $33.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.96 / $131.96 / $131.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.11 / $33.17 / $46.99