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Alabama rates for HCPCS A4375

Ostomy pouch, drainable, with faceplate attached, plastic, each

Facilitymedian $10 · 10th–90th $8–$170%20%10th90th$10Professionalmedian $15 · 10th–90th $10–$210%10%20%10th90th$15$10.0$20.0$50.0$100.0

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $16.98 / $20.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $16.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $13.49 / $16.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $9.33 / $13.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $10.96 / $15.85