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California rates for HCPCS A4423

Ostomy pouch, closed; for use on barrier with locking flange, with filter (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $0.76 / $7.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $1.17 / $7.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $1.12 / $2.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $2.41
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.74 / $3.56 / $5.50
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $5.56 / $9.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $1.56 / $2.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.78
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.59 / $3.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.81 / $4.01
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
$12.90 / $12.90 / $19.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.30 / $5.30 / $5.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $2.29 / $2.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.56 / $2.34
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $4.90 / $4.90
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $3.04 / $3.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.10 / $2.47