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Washington, DC 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
$5.44 / $5.44 / $5.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.44 / $5.44 / $5.44
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.45 / $5.45 / $5.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.12 / $4.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.98 / $15.98 / $15.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.68 / $4.01 / $5.70