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Florida rates for HCPCS A4375

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

Facilitymedian $16 · 10th–90th $11–$170%20%40%10th90th$16Professionalmedian $15 · 10th–90th $10–$210%10%10th90th$15$0.2$1.0$5.0$20.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $16.98 / $17.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $16.98 / $20.89
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $22.91 / $24.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $13.49 / $13.49
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $11.48 / $16.60
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $14.79 / $24.55
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $14.13 / $32.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $10.23 / $15.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $11.75 / $14.45
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $24.55