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Hawaii rates for HCPCS A4388

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.02 / $3.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $3.63 / $5.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $5.89 / $8.32
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $7.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $6.76 / $7.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.34 / $2.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $4.68 / $7.24