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Hawaii rates for HCPCS A4381

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.15 / $3.15 / $3.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.52 / $5.52 / $5.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $4.57 / $7.65
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.95 / $7.28 / $7.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.87 / $6.95 / $9.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.92 / $5.52 / $7.65
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $5.79 / $6.62