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California rates for HCPCS A4410

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $7.94 / $47.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $12.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $6.03 / $15.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.76 / $13.80
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $18.20 / $26.92
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $23.99 / $45.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.59 / $9.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $6.46 / $7.59
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $13.18 / $17.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $11.48 / $22.39
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $95.50 / $95.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $18.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $12.02 / $16.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $6.46 / $12.30
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $16.22 / $25.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $4.79 / $6.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $5.75 / $12.88