go back

Washington, DC rates for HCPCS A4413

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), with filter, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.20 / $5.20 / $5.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.20 / $5.20 / $5.20
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.20 / $5.20 / $5.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $3.93 / $3.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.29 / $15.29 / $15.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $3.84 / $5.44