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Washington rates for HCPCS A4396

Ostomy Belt With Peristomal Hernia Support

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.04 / $72.73 / $75.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.32 / $32.04 / $76.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.76 / $36.76 / $36.76
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.52 / $265.68 / $265.68
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.15 / $49.95 / $281.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.97 / $33.97 / $35.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.88 / $28.88 / $39.97
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.25 / $57.69 / $97.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.79 / $57.82 / $102.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.02 / $43.36 / $47.69
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.71 / $55.23 / $56.56
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.42 / $56.56 / $56.56
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.95 / $49.52 / $91.57
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.95 / $53.57 / $81.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.93 / $48.08 / $62.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.18 / $23.99 / $45.76
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.34 / $33.14 / $33.14