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Hawaii 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
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.90 / $6.90 / $6.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $9.53
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.67 / $9.08 / $9.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.07 / $8.67 / $12.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.29 / $6.90 / $9.53
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.22 / $7.23 / $8.26