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California rates for HCPCS A4392

Ostomy Pouch Urinary With Standard Wear Barrier Attached With Built-In Convexity (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $3.35 / $32.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $5.15 / $32.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.12 / $4.97 / $13.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $5.73 / $10.62
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.04 / $15.65 / $24.17
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $24.50 / $42.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $6.86 / $9.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $5.83 / $7.64
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.14 / $11.42 / $13.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.85 / $7.99 / $17.70
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.87 / $56.87 / $85.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.41 / $23.41 / $23.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $10.11 / $11.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $6.86 / $10.32
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.54 / $21.54 / $21.54
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.14 / $13.37 / $17.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.84 / $11.64