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Washington, DC rates for HCPCS A4393

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.52 / $8.52 / $8.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.52 / $8.52 / $8.52
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.53 / $8.53 / $8.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $6.45 / $6.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.06 / $25.06 / $25.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $6.30 / $12.49