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Washington 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
Facility
Modifier
Low / Median / High Price
$6.94 / $15.75 / $16.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $6.94 / $16.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.04 / $8.57 / $12.24
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.84 / $10.78 / $60.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.35 / $7.35 / $7.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.25 / $6.25 / $8.65
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.13 / $12.24 / $20.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.13 / $12.48 / $21.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.44 / $9.38 / $10.31
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.98 / $11.95 / $12.24
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.69 / $12.24 / $12.24
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.16 / $10.72 / $19.80
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $11.59 / $17.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.72 / $10.40 / $13.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $4.76 / $5.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $5.19 / $9.90
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.02 / $6.02 / $6.13