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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
$2.20 / $4.99 / $5.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.68 / $2.20 / $5.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.73 / $3.90
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.41 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.77 / $3.48 / $19.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $2.34 / $2.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $1.99 / $2.75
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.17 / $3.90 / $6.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $3.92 / $6.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.68 / $2.98 / $3.27
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.49 / $3.81 / $3.90
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $3.90 / $3.90
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $3.41 / $6.32
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.70 / $5.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.32 / $4.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.65 / $3.15
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.02 / $2.02