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Washington 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
$4.55 / $10.35 / $10.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.46 / $4.55 / $10.93
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.84 / $75.00 / $75.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $7.09 / $40.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $4.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.12 / $5.99
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.36 / $8.21 / $13.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $8.65 / $14.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.57 / $6.19 / $6.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.25 / $7.86 / $8.05
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.05 / $8.05 / $8.86
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.68 / $7.05 / $13.03
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.68 / $7.62 / $11.57
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.41 / $6.84 / $8.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.67 / $6.51
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.16 / $4.16 / $4.16