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Washington rates for HCPCS A4404

Ostomy ring, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $3.02 / $3.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.33 / $3.18
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $2.04 / $11.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.20 / $1.74
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $2.39 / $4.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $2.54 / $4.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.80 / $1.98
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $1.99 / $2.34
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $1.99 / $2.34
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $2.04 / $3.80
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.22 / $3.37
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $1.99 / $2.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.00 / $1.90
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.38 / $1.38