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California rates for HCPCS A4430

Ostomy pouch, urinary, with extended wear 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
$3.19 / $3.50 / $34.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $5.37 / $34.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $5.16 / $13.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.96 / $5.96 / $11.07
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.54 / $16.29 / $25.16
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.43 / $25.53 / $44.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.15 / $7.15 / $9.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $6.08 / $8.13
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.52 / $11.90 / $14.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.14 / $8.33 / $18.45
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.26 / $59.26 / $89.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.39 / $24.39 / $24.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $10.52 / $12.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $7.15 / $10.86
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.45 / $22.45 / $22.45
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.52 / $13.94 / $18.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.58 / $5.05 / $11.32