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Washington rates for HCPCS A4394

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $4.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.19 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.29
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $4.27 / $7.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $4.57 / $7.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $2.75 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $3.55 / $3.63
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.63 / $3.63
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.16 / $5.89
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $3.16 / $4.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $1.38 / $1.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.55 / $2.95
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $3.16 / $5.50