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Washington 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
$2.16 / $4.90 / $5.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $2.16 / $5.18
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.34 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.71 / $3.37 / $18.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $2.69
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.17 / $3.81 / $6.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $3.89 / $6.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $2.92 / $3.21
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.43 / $3.72 / $3.81
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $3.81 / $4.19
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $3.34 / $6.17
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.61 / $5.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.03 / $3.24 / $4.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.61 / $3.09
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.62 / $1.91