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California rates for HCPCS A4409

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 in or smaller, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.33 / $2.54 / $25.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $3.80 / $24.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.50 / $6.50 / $8.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $3.77 / $9.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $4.34 / $8.06
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.15 / $11.89 / $18.37
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.69 / $18.63 / $32.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.98 / $5.22 / $6.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $4.44 / $5.87
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.80 / $8.67 / $9.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.20 / $6.07 / $13.44
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
$43.18 / $43.18 / $65.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.05 / $26.05 / $26.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $7.68 / $8.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $5.22 / $8.26
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.38 / $16.38 / $16.38
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $10.16 / $13.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.68 / $8.67