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Hawaii rates for HCPCS A4376

Ostomy pouch, drainable, with faceplate attached, rubber, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.47 / $32.47 / $32.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.04 / $57.04 / $57.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.99 / $46.99 / $78.98
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.80 / $75.18 / $75.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.26 / $71.80 / $100.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.44 / $57.04 / $78.98
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.84 / $59.82 / $68.34