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California rates for HCPCS A4372

Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each

Facilitymedian $3 · 10th–90th $2$70%20%10th90th$3Professionalmedian $3 · 10th–90th $2$80%20%10th90th$3$0.1$0.2$1.0$5.0$20.0$100.0$500.0

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
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $3.02 / $5.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $2.82 / $6.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $7.76
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $8.13 / $12.30
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $10.96 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $3.24 / $3.80
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $6.61 / $8.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $5.37 / $9.77
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $43.65 / $43.65
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $5.89
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $5.50 / $7.94
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $3.24 / $4.90
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $5.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.41 / $2.24 / $2.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.63 / $6.31