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Washington rates for HCPCS A4423

Ostomy Pouch Closed; For Use On Barrier With Locking Flange With Filter (2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.47 / $3.34 / $3.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.47 / $3.52
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $2.29 / $12.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $1.56 / $1.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.84
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.36 / $2.54 / $4.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $2.59 / $4.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $2.20 / $72.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.33 / $2.52 / $2.59
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.59 / $2.85
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.15 / $2.27 / $4.19
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $2.45 / $3.73
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.20 / $2.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.10 / $2.10
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.37 / $1.37