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California rates for HCPCS A4431

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.33 / $2.54 / $25.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $3.92 / $25.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $3.77 / $9.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $4.34 / $8.48
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.15 / $11.89 / $18.37
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.69 / $18.63 / $32.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.59 / $5.59 / $6.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $4.75 / $6.14
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $8.67 / $10.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.20 / $6.07 / $13.44
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
$43.18 / $43.18 / $65.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.77 / $17.77 / $17.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $7.68 / $8.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $5.59 / $7.92
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.38 / $16.38 / $16.38
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $10.16 / $13.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.68 / $8.25