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Washington 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
$3.90 / $8.85 / $9.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $3.90 / $9.33
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.02 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.96 / $6.07 / $34.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $4.13 / $4.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $3.51 / $4.86
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.03 / $6.92 / $11.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.03 / $7.08 / $12.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.74 / $5.27 / $5.79
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.18 / $6.71 / $6.87
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.01 / $6.87 / $6.87
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.70 / $6.02 / $11.13
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.70 / $6.51 / $9.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.84 / $7.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.70 / $2.92 / $5.56
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.38 / $3.38 / $3.45