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California rates for HCPCS A4433

Ostomy pouch, urinary; for use on barrier with locking flange (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $1.37 / $13.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $2.11 / $13.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $2.02 / $5.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.34 / $5.18
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.92 / $6.39 / $9.86
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $10.05 / $17.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $2.81 / $3.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.39 / $3.14
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $4.69 / $5.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $3.28 / $7.27
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
$23.36 / $23.36 / $35.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.61 / $9.61 / $9.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $4.13 / $4.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.81 / $4.26
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.83 / $8.83 / $8.83
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $5.49 / $7.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $1.99 / $4.45