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California rates for HCPCS A4414

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.84 / $2.02 / $19.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $3.00 / $19.85
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $6.87 / $6.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.48 / $2.99 / $7.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $6.39
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.25 / $9.42 / $14.55
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $14.76 / $25.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.94 / $4.13 / $5.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $3.51 / $4.44
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $6.87 / $8.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.80 / $10.65
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
$34.21 / $34.21 / $51.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.64 / $20.64 / $20.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $6.08 / $6.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $4.13 / $6.27
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.98 / $12.98 / $12.98
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $8.03 / $10.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.92 / $6.76