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Washington rates for HCPCS A4330

Perianal fecal collection pouch with adhesive, each

Facilitymedian $11 · 10th–90th $8–$200%10%10th90th$11Professionalmedian $7 · 10th–90th $4–$130%10%10th90th$7$2.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $13.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.03 / $8.91
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $10.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $5.13
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $15.14 / $21.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $14.45 / $21.88
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $32.36 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $9.33 / $9.77
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $9.77 / $10.96
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $15.49 / $19.05
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $9.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.71 / $10.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $6.46 / $7.94
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $4.27 / $8.13
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $15.49