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Hawaii rates for HCPCS A4424

Ostomy pouch, drainable, with barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.28 / $5.28 / $5.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.70 / $4.70 / $7.32
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.65 / $6.96 / $6.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.66 / $6.65 / $9.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $6.58 / $7.32
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $5.54 / $6.33