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Washington, DC rates for HCPCS A4425

Ostomy pouch, drainable; for use on barrier with nonlocking flange, with filter (two-piece system), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.38 / $3.38 / $3.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.38 / $3.38 / $3.38
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.38 / $3.38 / $3.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $2.56 / $2.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.92 / $9.92 / $9.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $2.50 / $3.54