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California rates for HCPCS A4424

Ostomy Pouch Drainable With Barrier Attached With Filter (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $1.95 / $19.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $2.90 / $19.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.89 / $7.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $3.33 / $6.18
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.00 / $9.10 / $14.05
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $14.27 / $24.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $5.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $3.40 / $4.51
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $6.65 / $7.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.99 / $4.66 / $10.31
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
$33.11 / $33.11 / $49.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.96 / $19.96 / $19.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $5.88 / $6.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $4.00 / $6.01
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.55 / $12.55 / $12.55
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $7.79 / $10.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $2.99 / $8.90