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California rates for HCPCS A4404

Ostomy Ring Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.69 / $6.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $1.03 / $6.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $1.03 / $2.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.08 / $1.18 / $2.18
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.48 / $3.22 / $4.98
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $5.01 / $8.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $1.41 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.20 / $1.61
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $2.34 / $2.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.64 / $3.63
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
$11.65 / $11.65 / $17.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $2.08 / $2.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.41 / $1.99
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.42 / $4.42 / $4.42
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $2.13 / $2.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $1.00 / $2.23