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Hawaii rates for HCPCS A4431

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.98 / $6.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $5.62 / $6.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $6.17 / $10.96
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $9.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $8.91 / $10.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $3.39 / $3.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $6.17 / $9.55