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Washington 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
$1.37 / $3.11 / $3.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $1.37 / $3.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.40 / $1.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.11 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $2.13 / $12.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.71
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.36 / $2.41 / $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
$1.67 / $1.86 / $2.04
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.17 / $2.35 / $2.41
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $2.41 / $2.41
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.11 / $3.90
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.27 / $3.46
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $2.04 / $2.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $1.03 / $1.95
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.22