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Washington rates for HCPCS A4399

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.15 / $20.77 / $21.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.37 / $9.15 / $21.69
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.15 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.43 / $14.15 / $85.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.29 / $10.29 / $12.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $8.75 / $13.16
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.00 / $17.98 / $31.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $18.97 / $31.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.14 / $12.38 / $13.61
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.23 / $15.36 / $17.14
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $15.35 / $17.14
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.41 / $14.15 / $26.16
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.41 / $14.61 / $23.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.83 / $13.74 / $17.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.71 / $7.27 / $13.87
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.24 / $6.24 / $7.82