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Hawaii rates for HCPCS A4432

Ostomy pouch, urinary; for use on barrier with nonlocking flange, with faucet-type tap with valve (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.45 / $2.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.99 / $3.99 / $3.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $3.54 / $5.51
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.25 / $5.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $5.01 / $7.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $3.99 / $5.51
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $4.18 / $4.76