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Kentucky rates for HCPCS A4375

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

Facilitymedian $14 · 10th–90th $9$390%10%20%10th90th$14Professionalmedian $13 · 10th–90th $10$200%20%10th90th$13$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
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$14.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$14.13
Typical High
$19.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.88
CareSource
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$32.36
Typical High
$41.69
CareSource
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$30.20
Typical High
$38.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$38.90
Typical High
$38.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$13.49
Typical High
$114.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$17.78
Typical High
$33.88
United
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$9.33
Typical High
$10.96
United
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$11.48
Typical High
$15.14