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Hawaii 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
Professional
Modifier
Low / Median / High Price
$3.37 / $3.37 / $3.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $7.56
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $7.19 / $7.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $6.87 / $9.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $5.46 / $7.56
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.93 / $5.73 / $6.54