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California rates for HCPCS A4405

Ostomy skin barrier, nonpectin-based, paste, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.27 / $1.39 / $13.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $2.08 / $13.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.72 / $2.06 / $5.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $2.38 / $4.44
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $6.51 / $10.07
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.58 / $10.25 / $17.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.72 / $2.86 / $3.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.43 / $3.08
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $4.76 / $5.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $3.34 / $7.39
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.50 / $27.56 / $35.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $9.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $4.21 / $4.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.86 / $4.36
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.01
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.32 / $3.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $2.02 / $4.68