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Hawaii rates for HCPCS A4407

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 in or smaller, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.72 / $9.72 / $9.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.65 / $8.65 / $13.46
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.24 / $12.82 / $12.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.57 / $12.24 / $17.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $9.72 / $13.46
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.76 / $10.19 / $11.65