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Washington, DC rates for HCPCS A4428

Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.16 / $6.16 / $6.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.16 / $6.16 / $6.16
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.16 / $6.16 / $6.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.65 / $4.65 / $4.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.09 / $18.09 / $18.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.03 / $4.54 / $6.43