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Washington 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
$4.92 / $11.17 / $11.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.73 / $4.92 / $11.78
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.60 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.26 / $7.66 / $43.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.59 / $5.59 / $5.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $4.75 / $6.45
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $8.78 / $14.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.27 / $9.01 / $16.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.99 / $6.66 / $7.32
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.79 / $8.47 / $8.67
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $8.67 / $8.67
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.20 / $7.60 / $14.04
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.20 / $8.22 / $12.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.90 / $7.37 / $9.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.41 / $3.68 / $7.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.49 / $3.49 / $4.34