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Perianal Fecal Collection Pouch with Adhesive

Washington rates for HCPCS A4330

Perianal fecal collection pouch with adhesive, each

Rates data updated July 2026.

Facilitymedian $10 · 10th–90th $8$190%10%10th90th$10Professionalmedian $7 · 10th–90th $4$160%10%20%10th90th$7$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$13.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$5.62
Typical High
$13.18
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$10.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$5.13
Typical High
$5.13
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$15.14
Typical High
$21.88
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$14.45
Typical High
$21.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$32.36
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$9.33
Typical High
$9.77
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$9.77
Typical High
$10.96
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$15.49
Typical High
$19.05
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$9.77
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.71
Typical High
$10.96
United
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$6.46
Typical High
$8.13
United
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$4.27
Typical High
$8.13
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$8.71
Typical High
$15.49