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Hawaii rates for HCPCS A4408

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $6.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.95 / $10.95 / $10.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.75 / $9.75 / $15.17
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.79 / $14.44 / $14.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.65 / $13.79 / $19.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.39 / $10.95 / $15.17
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.11 / $11.49 / $13.13