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Hawaii 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
Professional
Modifier
Low / Median / High Price
$2.57 / $2.57 / $2.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $4.17 / $4.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $3.71 / $5.78
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.50 / $5.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.68 / $5.25 / $7.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $4.17 / $5.78
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $4.38 / $5.00