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Washington rates for HCPCS A4427

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $5.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $2.34 / $2.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.51
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $4.57 / $7.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $4.90 / $8.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $2.95 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $3.80 / $3.89
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.89 / $3.89
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $3.39 / $6.31
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $4.27
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.39 / $4.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $1.51 / $1.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.66 / $3.16
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $3.39 / $6.03