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Washington, DC rates for HCPCS A4415

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.66 / $5.66 / $5.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.66 / $5.66 / $5.66
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.67 / $5.67 / $5.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.28 / $4.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.63 / $16.63 / $16.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.78 / $4.18 / $8.28