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Hawaii rates for HCPCS A4394

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fl oz

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $1.76 / $1.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.07 / $3.07 / $3.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $2.56 / $4.25
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.86 / $4.04 / $4.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.70 / $3.86 / $5.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $3.82 / $4.25
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $3.11 / $3.67