go back

Washington, DC 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
$1.75 / $1.75 / $1.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $1.75
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $1.76 / $1.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.14 / $5.14 / $5.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $1.30 / $2.56