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California rates for HCPCS A4426

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.12 / $11.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.72 / $11.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $1.65 / $4.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $1.91 / $3.78
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.03 / $5.23 / $8.09
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $8.19 / $14.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $3.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $2.60
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $3.81 / $4.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.67 / $5.91
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
$18.97 / $18.97 / $28.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.81 / $7.81 / $7.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $3.38 / $3.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.29 / $3.45
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.19 / $7.19 / $7.19
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $4.46 / $5.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.61 / $3.71