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California rates for HCPCS A4388

Ostomy Pouch Drainable With Extended Wear Barrier Attached (1 Piece) Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.63 / $1.79 / $17.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $2.75 / $17.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $4.57 / $4.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.20 / $2.65 / $6.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $3.05 / $5.66
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.43 / $8.35 / $12.90
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $13.09 / $22.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.49 / $3.66 / $5.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.11 / $4.17
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.48 / $6.09 / $6.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.65 / $4.26 / $9.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.33 / $30.33 / $45.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.48 / $12.48 / $12.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $5.39 / $6.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.66 / $5.80
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.50 / $11.50 / $11.50
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.87 / $7.13 / $9.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $2.35 / $2.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.35 / $2.59 / $5.79