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Hawaii rates for HCPCS A4380

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.48 / $25.48 / $25.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.75 / $44.75 / $44.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.45 / $36.86 / $61.94
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.31 / $58.96 / $58.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.42 / $56.31 / $78.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.73 / $44.75 / $61.94
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.37 / $46.92 / $53.60