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Washington rates for HCPCS A4429

Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.53 / $14.82 / $15.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.96 / $6.53 / $15.64
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.09 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.08 / $10.18 / $57.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.54 / $7.54 / $7.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.41 / $6.41 / $8.55
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.82 / $11.53 / $19.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.82 / $11.68 / $20.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $8.84 / $9.72
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.34 / $11.26 / $11.53
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $11.53 / $12.68
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.57 / $10.09 / $18.67
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.57 / $10.92 / $16.55
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $9.80 / $12.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $5.27 / $9.32
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.17 / $5.17 / $5.78