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Hawaii rates for HCPCS A4433

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $2.82 / $3.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $4.17 / $5.89
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $5.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $4.79 / $5.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.82 / $1.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $3.31 / $5.13