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Washington rates for HCPCS A4405

Ostomy Skin Barrier Non-Pectin Based Paste Per Ounce

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.71 / $6.15 / $6.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.71 / $6.48
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.10 / $3.10 / $3.10
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.18 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $4.22 / $26.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $3.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.43 / $3.37
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.73 / $4.76 / $7.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.79 / $4.79 / $8.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.29 / $3.66 / $4.02
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.26 / $4.66 / $4.76
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.76 / $5.25
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.96 / $4.18 / $7.73
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.96 / $4.51 / $6.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.79 / $4.05 / $5.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $2.02 / $3.86
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.34 / $2.38