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Washington, DC rates for HCPCS A4417

Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.52 / $3.52 / $3.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.52 / $3.52 / $3.52
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.52 / $3.52 / $3.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.66 / $2.66 / $2.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.35 / $10.35 / $10.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.60 / $3.68