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Nevada rates for HCPCS A4375

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

Facilitymedian $21 · 10th–90th $9–$210%50%10th$21Professionalmedian $14 · 10th–90th $10–$210%10%10th90th$14$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $14.13 / $20.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $20.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $13.49 / $15.85
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $24.55 / $42.66
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $24.55 / $24.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.16 / $9.33 / $10.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $12.88 / $26.92