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California rates for HCPCS A4388

Ostomy pouch, drainable, with extended wear barrier attached, (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $26.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $3.02 / $23.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.88 / $7.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.24 / $6.76
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $8.91 / $12.88
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $11.48 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $3.63 / $4.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.09 / $3.80
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $6.46 / $8.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $5.62 / $10.96
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $45.71 / $45.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.03 / $6.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $5.89 / $8.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.09 / $5.89
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $11.48 / $11.48
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.76 / $12.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $2.34 / $2.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.75 / $6.17