go back

Washington 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
Facility
Modifier
Low / Median / High Price
$2.84 / $6.45 / $6.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $2.84 / $6.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $2.88 / $2.88
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.38 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.56 / $4.43 / $24.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.01 / $3.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $2.56 / $3.54
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.73 / $5.01 / $8.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.08 / $5.09 / $9.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.46 / $3.85 / $4.23
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.50 / $4.88 / $5.01
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.50 / $5.01 / $5.51
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.16 / $4.38 / $8.11
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.16 / $4.74 / $7.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.99 / $4.26 / $5.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.97 / $2.13 / $4.05
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.47 / $2.47 / $2.50