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Hawaii rates for HCPCS A4426

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $1.87 / $1.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.03 / $3.03 / $3.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $2.69 / $4.19
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.81 / $3.99 / $3.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.67 / $3.81 / $5.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $3.03 / $4.19
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $3.18 / $3.63