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Washington, DC rates for HCPCS A4392

Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.72 / $7.72 / $7.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.72 / $7.72 / $7.72
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.73 / $7.73 / $7.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $5.83 / $5.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.66 / $22.66 / $22.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $5.69 / $8.07