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Washington rates for HCPCS A4381

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.67 / $8.33 / $8.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.78 / $3.67 / $8.77
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.66 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $5.71 / $32.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.88 / $3.88 / $3.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.30 / $4.80
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.64 / $6.46 / $11.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $6.46 / $11.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.95 / $5.44
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.79 / $6.31 / $6.46
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $6.46 / $6.46
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.36 / $5.66 / $10.46
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $6.12 / $9.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $5.49 / $7.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.74 / $5.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.78 / $3.78