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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
$6.67 / $6.67 / $6.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $6.67 / $6.67
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.68 / $6.68 / $6.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $5.04 / $5.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.60 / $19.60 / $19.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.28 / $4.59 / $7.23