go back

North Dakota rates for HCPCS A4375

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

Facilitymedian $17 · 10th–90th $15$440%20%40%10th90th$17Professionalmedian $17 · 10th–90th $10$280%10%10th90th$17$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$16.98
Typical High
$16.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$15.14
Typical High
$16.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$26.30
Typical High
$28.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$27.54
Typical High
$34.67
Medica
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$20.42
Typical High
$112.20
Medica
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$11.22
Typical High
$23.99
United
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
United
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$13.80
Typical High
$28.18