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California rates for HCPCS A4434

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.55 / $15.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $2.37 / $15.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $2.27 / $6.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.63 / $6.93
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.53 / $7.19 / $11.11
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.84 / $11.28 / $19.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $3.51 / $4.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $3.71
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $5.25 / $6.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.15 / $3.68 / $8.14
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
$26.15 / $26.15 / $39.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.76 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $4.65 / $5.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $3.51 / $4.75
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.91 / $9.91 / $9.91
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $6.15 / $8.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.23 / $5.25