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Washington 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
$2.98 / $6.76 / $7.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.98 / $7.13
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.59 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.68 / $4.63 / $26.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $3.51 / $3.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $3.90
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.10 / $5.30 / $8.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.10 / $5.38 / $9.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.61 / $4.01 / $4.42
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.71 / $5.13 / $5.25
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $5.25 / $5.25
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.36 / $4.59 / $8.51
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.98 / $7.55
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.46 / $5.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.23 / $4.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $2.59 / $2.63