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Washington, DC rates for HCPCS A4391

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $6.03 / $7.08
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $6.61 / $6.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $5.89 / $5.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $6.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $19.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $4.90 / $8.71