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Washington 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
$2.04 / $4.65 / $4.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $2.04 / $4.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $65.00 / $65.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.17 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $3.20 / $18.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $2.56
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.17 / $3.71 / $6.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $3.82 / $6.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.49 / $2.77 / $3.04
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $3.54 / $3.62
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.62 / $3.62
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.17 / $5.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $3.43 / $5.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $3.08 / $3.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $1.65 / $2.93
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $2.10 / $2.10