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California rates for HCPCS A4418

Ostomy pouch, closed; without barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.75 / $7.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $1.13 / $7.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $1.10 / $2.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.27 / $2.35
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $3.47 / $5.36
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $5.44 / $9.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $1.69 / $2.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.44 / $1.79
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.52 / $3.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.77 / $3.92
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.60 / $12.60 / $18.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.18 / $5.18 / $5.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.69 / $2.24 / $2.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.69 / $2.29
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.78
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.96 / $3.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.07 / $2.52