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Washington rates for HCPCS A4421

Ostomy supply; miscellaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $11.35 / $11.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.15
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $100.00 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $7.00 / $75.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.55 / $22.55 / $22.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.17 / $19.17 / $22.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $72.00 / $93.50
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.25 / $120.25 / $120.25
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.25 / $120.25 / $120.25