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Hawaii rates for HCPCS A4379

Ostomy pouch, urinary, with faceplate attached, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $10.25 / $10.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.02 / $18.02 / $18.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.91 / $14.83 / $24.96
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.69 / $23.76 / $23.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.88 / $22.69 / $31.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.77 / $18.02 / $24.96
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.28 / $18.91 / $21.60