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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
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.02 / $3.98
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $3.63 / $3.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.09 / $3.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $8.71 / $12.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.02 / $5.25