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California rates for HCPCS A4411

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $2.00 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.98 / $27.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $3.39 / $8.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.80 / $8.13
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $10.23 / $15.14
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $13.49 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $4.27 / $4.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $3.63 / $4.27
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $7.41 / $9.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $6.46 / $12.59
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
$35.48 / $53.70 / $53.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $7.24 / $9.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $3.63 / $6.92
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $13.49 / $13.49
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $9.12 / $14.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $2.75 / $3.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $3.24 / $7.24