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Washington, DC rates for HCPCS A4380

Ostomy Pouch Urinary With Faceplate Attached Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.25 / $35.25 / $35.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.25 / $35.25 / $35.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.28 / $35.28 / $35.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.28 / $21.28 / $29.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.55 / $103.55 / $103.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.35 / $23.50 / $36.86