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Hawaii 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
Professional
Modifier
Low / Median / High Price
$5.82 / $5.82 / $5.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.44 / $9.44 / $9.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $13.09
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.90 / $12.46 / $12.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.33 / $11.90 / $16.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $9.44 / $13.09
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.58 / $9.91 / $11.33