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California rates for HCPCS A4394

Ostomy Deodorant With Or Without Lubricant For Use In Ostomy Pouch Per Fluid Ounce

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.97 / $1.06 / $10.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.58 / $10.07
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $2.72 / $3.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $1.57 / $4.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $3.37
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.81 / $4.95 / $7.64
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $7.78 / $13.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.18 / $3.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $2.46
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $3.62 / $4.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $2.52 / $5.61
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.03 / $18.03 / $27.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.88 / $10.88 / $10.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $3.20 / $3.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.18 / $3.45
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $6.83
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.17 / $2.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.63 / $4.84