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Hawaii rates for HCPCS A4396

Ostomy belt with peristomal hernia support

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.63 / $27.63 / $27.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.93 / $44.93 / $44.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.97 / $39.97 / $62.22
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.56 / $59.23 / $59.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.59 / $56.56 / $79.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $44.93 / $62.22
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.56 / $47.12 / $53.83