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California rates for HCPCS A4381

Ostomy pouch, urinary, for use on faceplate, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.89 / $18.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $2.90 / $18.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.80 / $7.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.23 / $6.01
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.80 / $8.83 / $13.64
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $13.89 / $24.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.69 / $3.88 / $5.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.30 / $4.40
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.17 / $6.46 / $7.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.88 / $4.51 / $10.01
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.17 / $32.17 / $48.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.24 / $13.24 / $13.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $5.70 / $6.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.88 / $5.90
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.21 / $12.21 / $12.21
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.17 / $5.17 / $5.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.49 / $2.74 / $6.15