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Washington rates for HCPCS A5093

Ostomy accessory; convex insert

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.54 / $3.50 / $3.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.54 / $3.65
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.39 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $2.39 / $18.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $1.64 / $1.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.39 / $1.87
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.12 / $2.86 / $4.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $3.05 / $4.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $2.09 / $2.29
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $2.27 / $2.73
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.31 / $2.73
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.39 / $4.43
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.59 / $3.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $2.31 / $2.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.25 / $2.21
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.66 / $1.66