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Washington 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
$3.77 / $8.56 / $8.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $3.77 / $9.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $3.82 / $3.82
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.82 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $5.87 / $33.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $3.40 / $4.70
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.03 / $6.67 / $11.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.03 / $6.75 / $11.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $5.09 / $5.61
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.96 / $6.49 / $6.65
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.81 / $6.65 / $6.65
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.52 / $5.82 / $10.76
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.52 / $6.30 / $9.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.28 / $5.65 / $7.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.68 / $3.04 / $5.38
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $3.26 / $3.33