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Hawaii rates for HCPCS A4416

Ostomy pouch, closed, with barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.91 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $3.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $3.39 / $4.79
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $4.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $3.89 / $4.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.48 / $1.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $2.75 / $4.27