go back

Hawaii rates for HCPCS A4385

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $1.94 / $1.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.09 / $6.09 / $6.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.03 / $5.03 / $8.44
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.67 / $8.02 / $8.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $7.67 / $10.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $6.09 / $8.44
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.84 / $6.18 / $7.30