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Washington 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
$2.65 / $6.02 / $6.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.65 / $6.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.28 / $3.28 / $4.69
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $4.13 / $23.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $2.81 / $2.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.39 / $3.31
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.73 / $4.76 / $7.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.79 / $4.78 / $8.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.58 / $3.93
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.19 / $4.58 / $4.69
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.08 / $4.69 / $5.16
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $4.09 / $7.59
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $4.44 / $6.73
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.71 / $3.99 / $5.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.99 / $3.79
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.34