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California rates for HCPCS A4419

Ostomy Pouch Closed; For Use On Barrier With Non-Locking Flange With Filter (2 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.72 / $6.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $1.06 / $6.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $1.06 / $2.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $2.24
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.56 / $3.33 / $5.14
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $5.18 / $9.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $2.63
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $2.41 / $2.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.69 / $3.74
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
$12.00 / $12.00 / $18.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.94 / $4.94 / $4.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $2.15 / $2.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $2.29
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.55 / $4.55 / $4.55
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $2.82 / $3.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $1.03 / $2.29