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Washington rates for HCPCS A4384

Ostomy faceplate equivalent, silicone ring, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.61 / $17.27 / $18.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $7.61 / $18.23
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.76 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.52 / $11.86 / $66.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $8.07 / $8.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $6.86 / $9.96
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.74 / $13.59 / $23.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.06 / $13.79 / $24.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.27 / $10.30 / $11.33
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.05 / $13.11 / $13.42
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.05 / $13.42 / $13.42
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.14 / $11.76 / $21.74
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.14 / $12.72 / $19.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.67 / $11.41 / $14.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.18 / $5.27 / $6.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.27 / $5.69 / $10.86
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $7.88 / $7.88