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California rates for HCPCS A4398

Ostomy irrigation supply; bag, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.17 / $5.67 / $55.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.67 / $8.69 / $55.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.95 / $8.36 / $22.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.67 / $9.67 / $23.34
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.32 / $26.42 / $40.81
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $41.45 / $72.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.75 / $11.60 / $16.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.86 / $13.65
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.45 / $19.30 / $23.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.59 / $13.52 / $29.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $91.72 / $91.72
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.58 / $95.58 / $144.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.28 / $16.91 / $19.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $11.60 / $18.38
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.45 / $36.45 / $36.45
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.45 / $17.84 / $23.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.44 / $8.19 / $18.97