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Hawaii rates for HCPCS A4383

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.23 / $19.23 / $19.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.82 / $33.82 / $33.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.07 / $27.84 / $46.83
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.57 / $44.58 / $44.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.80 / $42.57 / $59.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.55 / $33.82 / $46.83
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.29 / $35.47 / $40.52