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California rates for HCPCS A4399

Ostomy irrigation supply; cone/catheter, with or without brush

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.59 / $5.03 / $42.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.03 / $7.72 / $42.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.63 / $6.78 / $17.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.29 / $7.82 / $17.14
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.33 / $19.92 / $30.77
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $31.27 / $54.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.34 / $10.29 / $11.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $8.75 / $12.72
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.66 / $14.57 / $17.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.74 / $10.19 / $22.58
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.36 / $85.36 / $128.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.69 / $13.55 / $15.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $10.29 / $15.01
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.48 / $27.48 / $27.48
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.66 / $13.53 / $17.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.56 / $7.27 / $14.69