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California rates for HCPCS A4435

Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.23 / $2.45 / $23.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $3.76 / $23.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.83 / $4.61 / $12.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.76 / $4.16 / $7.49
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.09 / $79.00 / $91.00
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $18.46 / $30.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $6.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.12 / $5.70
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.44 / $8.05 / $9.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.83 / $5.64 / $12.48
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.09 / $40.09 / $60.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.50 / $16.50 / $16.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $8.05 / $8.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.84 / $7.66
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.20 / $15.20 / $15.20
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.44 / $9.42 / $12.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.10 / $3.42 / $8.39