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Washington 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
$3.45 / $7.83 / $8.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $3.45 / $8.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $4.26 / $4.26
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.34 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $5.38 / $30.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $3.66 / $3.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.11 / $4.30
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.64 / $6.21 / $11.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $6.36 / $11.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.21 / $4.68 / $5.14
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.48 / $5.95 / $6.09
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.48 / $6.09 / $6.09
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.05 / $5.34 / $9.86
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $5.77 / $8.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $5.18 / $6.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.35 / $2.39 / $2.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.79 / $4.93
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $3.56 / $3.56