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Hawaii rates for HCPCS A4384

Ostomy Faceplate Equivalent Silicone Ring Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.57 / $6.57 / $6.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.55 / $11.55 / $11.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.49 / $9.49 / $15.99
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.54 / $15.23 / $15.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.18 / $14.54 / $20.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.38 / $5.18 / $5.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.18 / $11.55 / $15.99
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.71 / $12.11 / $13.84