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Washington 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
$6.47 / $14.69 / $15.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $6.47 / $15.50
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $10.08 / $56.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $6.86 / $7.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $5.83 / $8.07
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.82 / $11.53 / $19.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.82 / $11.67 / $20.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $8.76 / $9.63
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.25 / $11.15 / $11.42
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $11.42 / $11.42
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.48 / $10.00 / $18.48
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.48 / $10.82 / $16.41
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.08 / $9.71 / $12.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.48 / $4.84 / $9.24
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.44 / $5.44 / $5.73