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California rates for HCPCS A4412

Ostomy Pouch Drainable High Output For Use On A Barrier With Flange (2 Piece System) Without Filter Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.01 / $1.11 / $10.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.70 / $10.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.36 / $1.64 / $4.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $1.89 / $4.98
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.99 / $5.18 / $8.00
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $8.11 / $14.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $3.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $1.93 / $2.80
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.78 / $4.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.65 / $5.86
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
$18.82 / $18.82 / $28.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $7.74 / $7.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $3.49 / $3.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $2.27 / $3.42
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.12 / $7.12 / $7.12
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $4.43 / $5.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.60 / $3.78