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Washington, DC rates for HCPCS A4377

Ostomy Pouch Drainable For Use On Faceplate Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.05 / $4.05 / $4.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $4.05 / $4.05
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $4.05 / $4.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.06 / $3.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $11.89 / $11.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $2.99 / $5.93