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Washington 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
$1.43 / $3.25 / $3.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.43 / $3.44
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.22 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $2.24 / $12.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.44 / $1.88
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.36 / $2.52 / $4.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $2.52 / $4.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.95 / $2.14
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.47 / $2.52
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $2.52 / $2.52
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.10 / $2.22 / $4.09
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.40 / $3.64
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.15 / $2.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.07 / $2.04
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.24 / $1.27