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Hawaii 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
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.65 / $6.65 / $6.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $5.92 / $9.22
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.38 / $8.77 / $8.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.87 / $8.38 / $11.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $6.65 / $9.22
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.74 / $6.97 / $7.97