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Hawaii rates for HCPCS A4423

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.55 / $1.55 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $2.29 / $3.24
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.63 / $2.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.63 / $3.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $1.00 / $1.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.86 / $2.82