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California rates for HCPCS A4384

Ostomy faceplate equivalent, silicone ring, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $3.95 / $38.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.95 / $6.06 / $38.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $5.83 / $15.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $12.48
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.15 / $18.39 / $28.41
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.26 / $28.83 / $50.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.70 / $8.07 / $11.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $6.86 / $9.49
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.74 / $13.42 / $16.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.05 / $9.39 / $20.80
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
$66.83 / $66.83 / $100.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.51 / $27.51 / $27.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.68 / $11.88 / $13.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $8.07 / $12.25
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.35 / $25.35 / $25.35
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.74 / $10.74 / $10.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $5.18 / $6.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.18 / $5.69 / $13.55